Blue Mesa Dentistry At Southglenn | |
2001 E Easter Ave #200 Centennial CO 80122 | |
(303) 703-4544 | |
(303) 703-3610 |
Full Name | Blue Mesa Dentistry At Southglenn |
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Speciality | Dentist |
Location | 2001 E Easter Ave, Centennial, Colorado |
Authorized Official Name and Position | Marissa Anne Nicholson (OFFICE MANAGER) |
Authorized Official Contact | 3037034544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Mesa Dentistry At Southglenn 2001 E Easter Ave #200 Centennial CO 80122 Ph: (303) 703-4544 | Blue Mesa Dentistry At Southglenn 2001 E Easter Ave #200 Centennial CO 80122 Ph: (303) 703-4544 |
NPI Number | 1881747319 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881747319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6372 (Colorado) | Primary |
122300000X | Dentist | 6619 (Colorado) | Secondary |
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