| Bonatidudley Pllc | |
|
4855 Ward Rd Ste 700 Wheat Ridge CO 80033-1953 | |
| (303) 422-8748 | |
| Not Available |
| Full Name | Bonatidudley Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4855 Ward Rd Ste 700, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Megan Giggey (CDO) |
| Authorized Official Contact | 3038758896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonatidudley Pllc 400 W South Boulder Rd Ste 2500 Lafayette CO 80026-2724 Ph: (303) 875-8896 | Bonatidudley Pllc 4855 Ward Rd Ste 700 Wheat Ridge CO 80033-1953 Ph: (303) 422-8748 |
| NPI Number | 1083301402 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083301402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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