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9910 Wadsworth Pkwy Suite 300 Westminster CO 80021-6848 | |
(303) 430-4200 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 9910 Wadsworth Pkwy, Westminster, Colorado |
Authorized Official Name and Position | Gary D Dixon (MANAGER) |
Authorized Official Contact | 3034304200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9910 Wadsworth Pkwy Suite 300 Westminster CO 80021-6848 Ph: (303) 430-4200 | 9910 Wadsworth Pkwy Suite 300 Westminster CO 80021-6848 Ph: (303) 430-4200 |
NPI Number | 1114207008 |
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Provider Enumeration Date | 08/23/2011 |
Last Update Date | 07/08/2014 |
Identifier | Type | State | Issuer |
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1114207008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 10401 (Colorado) | Primary |
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