| |
7405 E Iliff Ave Denver CO 80231-5368 | |
(303) 752-6692 | |
(303) 752-6693 |
Full Name | |
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Speciality | Dentist |
Location | 7405 E Iliff Ave, Denver, Colorado |
Authorized Official Name and Position | Ronald B Montano (DENTIST/OWNER) |
Authorized Official Contact | 7195761850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 576-1850 | 7405 E Iliff Ave Denver CO 80231-5368 Ph: (303) 752-6692 |
NPI Number | 1194101964 |
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Provider Enumeration Date | 08/04/2015 |
Last Update Date | 11/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194101964 | NPI | - | NPPES |
46600019 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |