| George S. Douvas D.d.s. Ph.d. | |
|
102 Spruce Ln Idaho Springs CO 80452-8500 | |
| (303) 567-0840 | |
| Not Available |
| Full Name | George S. Douvas D.d.s. Ph.d. |
|---|---|
| Speciality | Dentist |
| Location | 102 Spruce Ln, Idaho Springs, Colorado |
| Authorized Official Name and Position | George S. Douvas (OWNER/PRESIDENT) |
| Authorized Official Contact | 3035670840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George S. Douvas D.d.s. Ph.d. Po Box 420 102 Spruce Lane Idaho Springs CO 80452-0420 Ph: (303) 567-0840 | George S. Douvas D.d.s. Ph.d. 102 Spruce Ln Idaho Springs CO 80452-8500 Ph: (303) 567-0840 |
| NPI Number | 1558720318 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558720318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6672 (Colorado) | Primary |
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