Colorado Dental Orthodontist Practice, Pllc | |
3550 W 38th Ave Ste 50 Denver CO 80211-2000 | |
(303) 515-7008 | |
Not Available |
Full Name | Colorado Dental Orthodontist Practice, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3550 W 38th Ave Ste 50, Denver, Colorado |
Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5093158338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Colorado Dental Orthodontist Practice, Pllc 3550 W 38th Ave Ste 50 Denver CO 80211-2000 Ph: () - | Colorado Dental Orthodontist Practice, Pllc 3550 W 38th Ave Ste 50 Denver CO 80211-2000 Ph: (303) 515-7008 |
NPI Number | 1639752850 |
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Provider Enumeration Date | 05/05/2021 |
Last Update Date | 05/05/2021 |
Identifier | Type | State | Issuer |
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1639752850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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