58 Dental | |
7090 E Hampden Ave Suite C Denver CO 80224-3022 | |
(303) 758-5252 | |
(303) 691-1937 |
Full Name | 58 Dental |
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Speciality | Clinic/center - Dental |
Location | 7090 E Hampden Ave, Denver, Colorado |
Authorized Official Name and Position | Kyle Ryan Griffith (PRESIDENT) |
Authorized Official Contact | 6178615809 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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58 Dental 7090 E Hampden Ave Suite C Denver CO 80224-3022 Ph: (303) 758-5252 | 58 Dental 7090 E Hampden Ave Suite C Denver CO 80224-3022 Ph: (303) 758-5252 |
NPI Number | 1023417250 |
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Provider Enumeration Date | 08/13/2014 |
Last Update Date | 08/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023417250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 00201927 (Colorado) | Primary |
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