| Hero Dental Of South Denver Pc | |
|
7405 E Iliff Ave Denver CO 80231-5368 | |
| (303) 752-6692 | |
| Not Available |
| Full Name | Hero Dental Of South Denver Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7405 E Iliff Ave, Denver, Colorado |
| Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193232362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hero Dental Of South Denver Pc 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 576-1850 | Hero Dental Of South Denver Pc 7405 E Iliff Ave Denver CO 80231-5368 Ph: (303) 752-6692 |
| NPI Number | 1952905408 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952905408 | NPI | - | NPPES |
| 9000170086 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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