| Carbon Valley Dental Company Llc | |
|
8350 Colorado Blvd Unit 150 Firestone CO 80504-6803 | |
| (210) 845-7601 | |
| Not Available |
| Full Name | Carbon Valley Dental Company Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8350 Colorado Blvd Unit 150, Firestone, Colorado |
| Authorized Official Name and Position | Kyle Patrick Walker (OWNER) |
| Authorized Official Contact | 2108457601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Valley Dental Company Llc 12801 Lafayette St Unit D202 Thornton CO 80241-1810 Ph: (210) 845-7601 | Carbon Valley Dental Company Llc 8350 Colorado Blvd Unit 150 Firestone CO 80504-6803 Ph: (210) 845-7601 |
| NPI Number | 1730904715 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730904715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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