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1499 Blake St Ste 1i Denver CO 80202-1356 | |
(303) 872-2333 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1499 Blake St Ste 1i, Denver, Colorado |
Authorized Official Name and Position | Sheila Soroushian (ORTHODONTIST) |
Authorized Official Contact | 9494134828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8057 Chasewood Loop Colorado Springs CO 80908-5605 Ph: (949) 413-4828 | 1499 Blake St Ste 1i Denver CO 80202-1356 Ph: (303) 872-2333 |
NPI Number | 1609318005 |
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Provider Enumeration Date | 11/16/2016 |
Last Update Date | 11/16/2016 |
Identifier | Type | State | Issuer |
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1609318005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 202090 (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 | |