| |
2323 South Wadsworth Blvd Suite #104 Lakewood CO 80227 | |
(303) 984-9700 | |
(303) 985-2490 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2323 South Wadsworth Blvd, Lakewood, Colorado |
Authorized Official Name and Position | Valerie Lopez (MANAGER) |
Authorized Official Contact | 3039849700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2323 South Wadsworth Blvd Suite #104 Lakewood CO 80227 Ph: (303) 984-9700 | 2323 South Wadsworth Blvd Suite #104 Lakewood CO 80227 Ph: (303) 984-9700 |
NPI Number | 1952565996 |
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Provider Enumeration Date | 07/17/2008 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952565996 | NPI | - | NPPES |
02047082 | Medicaid | CO | |
04104709 | Medicaid | CO | |
39009777 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Suite 305 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7373 W Jefferson Ave Ste 305, Lakewood, CO 80235 Phone: 303-985-1263 Fax: 303-985-1659 | |
Ten Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 S Wadsworth Blvd Unit 303d, Lakewood, CO 80227 Phone: 303-988-6115 | |
Charisma Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 S Pierce St Ste 16b, Lakewood, CO 80232 Phone: 303-953-1418 Fax: 720-524-4411 | |
Frank Harmon Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2290 Kipling St, Lakewood, CO 80215 Phone: 303-233-2906 Fax: 303-233-2671 | |