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4809 Argonne St Suite 230 Denver CO 80249-6834 | |
| (303) 371-4485 | |
| (303) 371-3904 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4809 Argonne St, Denver, Colorado |
| Authorized Official Name and Position | Chris R Roberts (OWNER/PRESIDENT) |
| Authorized Official Contact | 3033714485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4809 Argonne St Suite 230 Denver CO 80249-6834 Ph: (303) 371-4485 | 4809 Argonne St Suite 230 Denver CO 80249-6834 Ph: (303) 371-4485 |
| NPI Number | 1134432743 |
|---|---|
| Provider Enumeration Date | 07/24/2010 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134432743 | NPI | - | NPPES |
| 47684291 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9944 (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 | |