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8181 E Tufts Ave Suite 550 Denver CO 80237-2579 | |
(720) 488-9090 | |
(720) 488-9091 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 8181 E Tufts Ave, Denver, Colorado |
Authorized Official Name and Position | Gerald F Wallace (OWNER) |
Authorized Official Contact | 7204889090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8181 E Tufts Ave Suite 550 Denver CO 80237-2579 Ph: (720) 488-9090 | 8181 E Tufts Ave Suite 550 Denver CO 80237-2579 Ph: (720) 488-9090 |
NPI Number | 1376698175 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 12/04/2009 |
Identifier | Type | State | Issuer |
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1376698175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |