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7475 W Colfax Ave Ste 103 Lakewood CO 80214-5425 | |
| (720) 512-2879 | |
| (720) 241-7811 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7475 W Colfax Ave Ste 103, Lakewood, Colorado |
| Authorized Official Name and Position | Colton Flake (PRESIDENT) |
| Authorized Official Contact | 7202775930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6870 S University Blvd Centennial CO 80122-1515 Ph: (720) 512-5879 | 7475 W Colfax Ave Ste 103 Lakewood CO 80214-5425 Ph: (720) 512-2879 |
| NPI Number | 1114166865 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114166865 | NPI | - | NPPES |
| 01928376 | Medicaid | CO |
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