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1570 E Colfax Ave Denver CO 80218-2404 | |
| (303) 495-2535 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1570 E Colfax Ave, Denver, Colorado |
| Authorized Official Name and Position | Richard Luong (OWNER) |
| Authorized Official Contact | 6189549941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1570 E Colfax Ave Denver CO 80218-2404 Ph: (303) 495-2535 | 1570 E Colfax Ave Denver CO 80218-2404 Ph: (303) 495-2535 |
| NPI Number | 1700663515 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700663515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |