| Alpha Dental Care Ii Pc | |
|
1660 S Albion St Ste 715 Denver CO 80222-4045 | |
| (303) 758-4287 | |
| (303) 758-0225 |
| Full Name | Alpha Dental Care Ii Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1660 S Albion St Ste 715, Denver, Colorado |
| Authorized Official Name and Position | Roy Perry Theriot (OWNER) |
| Authorized Official Contact | 3037584287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Dental Care Ii Pc 1660 S Albion St Ste 715 Denver CO 80222-4045 Ph: (303) 758-4287 | Alpha Dental Care Ii Pc 1660 S Albion St Ste 715 Denver CO 80222-4045 Ph: (303) 758-4287 |
| NPI Number | 1043642747 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043642747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 105385 (Colorado) | Primary |
| 261QD0000X | Clinic/center - Dental | 6671 (Colorado) | Secondary |
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