| Dental Health At 16th Street Mall, Pplc | |
|
1600 Stout St Ste 600 Denver CO 80202-3106 | |
| (303) 592-1133 | |
| (303) 592-1265 |
| Full Name | Dental Health At 16th Street Mall, Pplc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 Stout St Ste 600, Denver, Colorado |
| Authorized Official Name and Position | Connie Juniel (MANAGER) |
| Authorized Official Contact | 3035921133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health At 16th Street Mall, Pplc 1600 Stout St Ste 600 Denver CO 80202-3106 Ph: (303) 592-1133 | Dental Health At 16th Street Mall, Pplc 1600 Stout St Ste 600 Denver CO 80202-3106 Ph: (303) 592-1133 |
| NPI Number | 1700921707 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700921707 | NPI | - | NPPES |
| 841525799 | Other | CO | SPECIALITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 579 (Colorado) | Primary |
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