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1955 Arapahoe St Suite #a Denver CO 80202-1851 | |
| (303) 296-0888 | |
| (303) 292-2634 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1955 Arapahoe St, Denver, Colorado |
| Authorized Official Name and Position | Charles E. Stirewalt (OWNER) |
| Authorized Official Contact | 7144281300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
201 Sandpointe Ave Fl 8 Santa Ana CA 92707-5778 Ph: (714) 428-1300 | 1955 Arapahoe St Suite #a Denver CO 80202-1851 Ph: (303) 296-0888 |
| NPI Number | 1053497735 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053497735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9133 (Colorado) | 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 | |