| 5280 Dentistry And Anesthesia | |
|
2422 Glenarm Pl Denver CO 80205-3129 | |
| (602) 391-8331 | |
| Not Available |
| Full Name | 5280 Dentistry And Anesthesia |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 2422 Glenarm Pl, Denver, Colorado |
| Authorized Official Name and Position | Zachary Xavier Van Hilsen (OWNER) |
| Authorized Official Contact | 6023918331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5280 Dentistry And Anesthesia 2422 Glenarm Pl Denver CO 80205-3129 Ph: (602) 391-8331 | 5280 Dentistry And Anesthesia 2422 Glenarm Pl Denver CO 80205-3129 Ph: (602) 391-8331 |
| NPI Number | 1649785197 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649785197 | NPI | - | NPPES |
| 13350056 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | DEN.202500 (Colorado) | Primary |
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