| Dentistry 360 | |
|
5140 W Dartmouth Ave Denver CO 80236-2007 | |
| (720) 596-4760 | |
| (720) 596-4943 |
| Full Name | Dentistry 360 |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5140 W Dartmouth Ave, Denver, Colorado |
| Authorized Official Name and Position | Semiramida Condoianis (DENTIST) |
| Authorized Official Contact | 7205964760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry 360 5140 W Dartmouth Ave Denver CO 80236-2007 Ph: (720) 596-4760 | Dentistry 360 5140 W Dartmouth Ave Denver CO 80236-2007 Ph: (720) 596-4760 |
| NPI Number | 1225485873 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 05/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225485873 | NPI | - | NPPES |
| 58206051 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 00010276 (Colorado) | Primary |
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