| Bear Dental Group Prof. Llc | |
|
10815 W Jewell Ave Suite L Lakewood CO 80232-4851 | |
| (303) 988-6860 | |
| (303) 989-2058 |
| Full Name | Bear Dental Group Prof. Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10815 W Jewell Ave, Lakewood, Colorado |
| Authorized Official Name and Position | Jennifer Lee (OWNER) |
| Authorized Official Contact | 7202401028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Dental Group Prof. Llc 10815 W Jewell Ave Suite L Lakewood CO 80232-4851 Ph: (303) 988-6860 | Bear Dental Group Prof. Llc 10815 W Jewell Ave Suite L Lakewood CO 80232-4851 Ph: (303) 988-6860 |
| NPI Number | 1780065797 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780065797 | NPI | - | NPPES |
| 92521258 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9539 (Colorado) | Primary |
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