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10345 Parkglenn Way Ste 200 Parker CO 80138-3884 | |
| (303) 841-7045 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10345 Parkglenn Way Ste 200, Parker, Colorado |
| Authorized Official Name and Position | Joseph Stoll (PRESIDENT) |
| Authorized Official Contact | 3038417045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10345 Parkglenn Way Ste 200 Parker CO 80138-3884 Ph: (303) 841-7045 | 10345 Parkglenn Way Ste 200 Parker CO 80138-3884 Ph: (303) 841-7045 |
| NPI Number | 1790395515 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790395515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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