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9695 South Yosemite Suite 327 Lone Tree CO 80124-2888 | |
| (303) 671-0761 | |
| (720) 881-7446 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9695 South Yosemite, Lone Tree, Colorado |
| Authorized Official Name and Position | Kelly Leins (OFFICE MANAGER) |
| Authorized Official Contact | 3036710761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9695 South Yosemite Suite 327 Lone Tree CO 80124-2888 Ph: (303) 671-0761 | 9695 South Yosemite Suite 327 Lone Tree CO 80124-2888 Ph: (303) 671-0761 |
| NPI Number | 1932292059 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932292059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | H 01 1 05392 (Colorado) | Primary |
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