| Foothills Prosthetic Dentistry | |
|
255 Union Blvd Suite 440 Lakewood CO 80228-1810 | |
| (303) 984-9200 | |
| (303) 984-5646 |
| Full Name | Foothills Prosthetic Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 255 Union Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Aristides A Tsikoudakis (OWNER/DENTIST) |
| Authorized Official Contact | 3039849200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Prosthetic Dentistry 255 Union Blvd Suite 440 Lakewood CO 80228-1810 Ph: (303) 984-9200 | Foothills Prosthetic Dentistry 255 Union Blvd Suite 440 Lakewood CO 80228-1810 Ph: (303) 984-9200 |
| NPI Number | 1619163219 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619163219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8927 (Colorado) | Primary |
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