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12810 W Alameda Pkwy Unit A Lakewood CO 80228-3116 | |
(303) 727-9100 | |
(303) 727-8636 |
Full Name | |
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Speciality | Dentist |
Location | 12810 W Alameda Pkwy, Lakewood, Colorado |
Authorized Official Name and Position | Mark Edward Klein (PARTNER) |
Authorized Official Contact | 3037279100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12810 W Alameda Pkwy Unit A Lakewood CO 80228-3116 Ph: (303) 727-9100 | 12810 W Alameda Pkwy Unit A Lakewood CO 80228-3116 Ph: (303) 727-9100 |
NPI Number | 1891003570 |
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Provider Enumeration Date | 09/16/2010 |
Last Update Date | 09/16/2010 |
Identifier | Type | State | Issuer |
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1891003570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 105192 (Colorado) | Primary |
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