| Genesis Dental Services Of Lakewood Pllc | |
|
14255 W Colfax Ave Ste E Lakewood CO 80401-3264 | |
| (303) 218-2392 | |
| Not Available |
| Full Name | Genesis Dental Services Of Lakewood Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14255 W Colfax Ave Ste E, Lakewood, Colorado |
| Authorized Official Name and Position | Arace Assadoghli (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dental Services Of Lakewood Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Genesis Dental Services Of Lakewood Pllc 14255 W Colfax Ave Ste E Lakewood CO 80401-3264 Ph: (303) 218-2392 |
| NPI Number | 1861061228 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861061228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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