At Home Mobile Dental Corp. | |
18551 E Mainstreet # 103 Parker CO 80134-4951 | |
(720) 666-1162 | |
Not Available |
Full Name | At Home Mobile Dental Corp. |
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Speciality | Dentist - General Practice |
Location | 18551 E Mainstreet # 103, Parker, Colorado |
Authorized Official Name and Position | Nathaniel Conrad Cejka (OWNER) |
Authorized Official Contact | 7206661162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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At Home Mobile Dental Corp. 18551 E Mainstreet # 103 Parker CO 80134-4951 Ph: (720) 666-1162 | At Home Mobile Dental Corp. 18551 E Mainstreet # 103 Parker CO 80134-4951 Ph: (720) 666-1162 |
NPI Number | 1205485612 |
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Provider Enumeration Date | 09/09/2019 |
Last Update Date | 09/09/2019 |
Identifier | Type | State | Issuer |
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1205485612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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