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210 S Elizabeth Street Unit E Elizabeth CO 80107 | |
| (303) 646-6336 | |
| (303) 646-5355 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 210 S Elizabeth Street, Elizabeth, Colorado |
| Authorized Official Name and Position | Lisa Marie Mead Huffman (OFFICE MANAGER) |
| Authorized Official Contact | 3036466336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
210 S Elizabeth Street Unit E Elizabeth CO 80107 Ph: (303) 646-6336 | 210 S Elizabeth Street Unit E Elizabeth CO 80107 Ph: (303) 646-6336 |
| NPI Number | 1700967585 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700967585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7990 (Colorado) | Primary |
Larry J Oneill Dmd Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 779 Crossroads Circle, Elizabeth, CO 80107 Phone: 720-646-3935 Fax: 303-379-5380 |