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3190 W 34th Ave Denver CO 80211-3208 | |
(303) 458-3838 | |
(303) 458-1357 |
Full Name | |
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Speciality | Dentist |
Location | 3190 W 34th Ave, Denver, Colorado |
Authorized Official Name and Position | Gilbert Eugene Vigil (DDS) |
Authorized Official Contact | 3034583838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3190 W 34th Ave Denver CO 80211-3208 Ph: (303) 458-3838 | 3190 W 34th Ave Denver CO 80211-3208 Ph: (303) 458-3838 |
NPI Number | 1831376821 |
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Provider Enumeration Date | 01/22/2008 |
Last Update Date | 01/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831376821 | NPI | - | NPPES |
1154467603 | Other | CO | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5536 (Colorado) | Primary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |