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9227 E Lincoln Ave Ste 100 Lone Tree CO 80124-5504 | |
(303) 225-4715 | |
(303) 688-6012 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 9227 E Lincoln Ave Ste 100, Lone Tree, Colorado |
Authorized Official Name and Position | Lisa Mehelich Fox (OWNER/OPERATOR) |
Authorized Official Contact | 3037914400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9227 E Lincoln Ave Ste 100 Lone Tree CO 80124-5504 Ph: (303) 225-4715 | 9227 E Lincoln Ave Ste 100 Lone Tree CO 80124-5504 Ph: (303) 225-4715 |
NPI Number | 1407901754 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 06/23/2020 |
Identifier | Type | State | Issuer |
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1407901754 | NPI | - | NPPES |
1215048806 | Other | CO | KATHLEEN E. WAGUESPACK, DMD NPI |
1427078435 | Other | CO | LISA MEHELICH FOX, DDS NPI |
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