| Green Dental | |
|
10700 E Bethany Dr Ste 210 Aurora CO 80014-2680 | |
| (303) 745-8828 | |
| Not Available |
| Full Name | Green Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10700 E Bethany Dr Ste 210, Aurora, Colorado |
| Authorized Official Name and Position | Justin Kwon (PRESIDENT) |
| Authorized Official Contact | 7203400348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Dental 10700 E Bethany Dr Ste 210 Aurora CO 80014-2680 Ph: (303) 745-8828 | Green Dental 10700 E Bethany Dr Ste 210 Aurora CO 80014-2680 Ph: (303) 745-8828 |
| NPI Number | 1366801953 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366801953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9372 (Colorado) | Primary |
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