Ambida Family Dentistry, Pc | |
9695 S Yosemite St Ste 225 Lone Tree CO 80124-2890 | |
(303) 790-8338 | |
(300) 379-0833 |
Full Name | Ambida Family Dentistry, Pc |
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Speciality | Dentist - General Practice |
Location | 9695 S Yosemite St Ste 225, Lone Tree, Colorado |
Authorized Official Name and Position | Sandra Cleto Ambida (PRESIDENT) |
Authorized Official Contact | 3037908338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ambida Family Dentistry, Pc 9695 S Yosemite St Ste 225 Lone Tree CO 80124-2890 Ph: (303) 790-8338 | Ambida Family Dentistry, Pc 9695 S Yosemite St Ste 225 Lone Tree CO 80124-2890 Ph: (303) 790-8338 |
NPI Number | 1205089083 |
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Provider Enumeration Date | 10/24/2008 |
Last Update Date | 10/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205089083 | NPI | - | NPPES |
1922171941 | Other | CO | DENTAL OFFICE 'S' CORPORATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7930 (Colorado) | Primary |
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