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5600 W 44th Ave Denver CO 80212-7339 | |
| (602) 391-8331 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5600 W 44th Ave, Denver, Colorado |
| Authorized Official Name and Position | Shaheen M Moezzi (DENTIST/OWNER) |
| Authorized Official Contact | 7026826789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3330 W 34th Ave Denver CO 80211-3129 Ph: (602) 391-8331 | 5600 W 44th Ave Denver CO 80212-7339 Ph: (602) 391-8331 |
| NPI Number | 1568906121 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568906121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN.00202224 (Colorado) | Primary |
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 | |