| Koala Center For Sleep Disorders Co1 | |
|
1660 S Albion St Suite 1008 Denver CO 80222-4008 | |
| (303) 691-0267 | |
| (303) 691-0268 |
| Full Name | Koala Center For Sleep Disorders Co1 |
|---|---|
| Speciality | Dentist |
| Location | 1660 S Albion St, Denver, Colorado |
| Authorized Official Name and Position | Kevin Shawn Berry (DOCTOR OF DENTAL SURGERY) |
| Authorized Official Contact | 3036910267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koala Center For Sleep Disorders Co1 11825 State Route 40 Suite 100 Dunlap IL 61525-8842 Ph: (309) 839-9941 | Koala Center For Sleep Disorders Co1 1660 S Albion St Suite 1008 Denver CO 80222-4008 Ph: (303) 691-0267 |
| NPI Number | 1013448034 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013448034 | NPI | - | NPPES |
| 1003998485 | Other | CO | INDIVIDUAL NPI NUMBER |
| 1962765651 | Other | CO | DR. BERRY PC ORGANIZATION (TYPE 2) NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7991 (Colorado) | Primary |
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