| |
8700 W 101st Ave Suite 300 Westminster CO 80021-3978 | |
(303) 865-7550 | |
(303) 865-7551 |
Full Name | |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 8700 W 101st Ave, Westminster, Colorado |
Authorized Official Name and Position | Trevor Gregg Johnson (PARTNER) |
Authorized Official Contact | 3038657550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8700 W 101st Ave Suite 300 Westminster CO 80021-3978 Ph: (303) 865-7550 | 8700 W 101st Ave Suite 300 Westminster CO 80021-3978 Ph: (303) 865-7550 |
NPI Number | 1295186708 |
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Provider Enumeration Date | 06/27/2016 |
Last Update Date | 05/03/2019 |
Identifier | Type | State | Issuer |
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1295186708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9701 (Colorado) | Primary |
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