| Colorado Fd Pllc | |
|
255 Union Blvd Ste 410 Lakewood CO 80228-1852 | |
| (303) 500-5510 | |
| Not Available |
| Full Name | Colorado Fd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 255 Union Blvd Ste 410, Lakewood, Colorado |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Fd Pllc 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0729 | Colorado Fd Pllc 255 Union Blvd Ste 410 Lakewood CO 80228-1852 Ph: (303) 500-5510 |
| NPI Number | 1952906919 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952906919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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