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10455 Park Meadows Dr Ste 101 Lone Tree CO 80124-5307 | |
(303) 790-0234 | |
(303) 768-8644 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 10455 Park Meadows Dr Ste 101, Lone Tree, Colorado |
Authorized Official Name and Position | Kelly Freeman (OWNER PRESIDENT) |
Authorized Official Contact | 3037900234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10455 Park Meadows Dr Ste 101 Lone Tree CO 80124-5307 Ph: (303) 790-0234 | 10455 Park Meadows Dr Ste 101 Lone Tree CO 80124-5307 Ph: (303) 790-0234 |
NPI Number | 1952817520 |
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Provider Enumeration Date | 12/19/2017 |
Last Update Date | 12/19/2017 |
Identifier | Type | State | Issuer |
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1952817520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 9957 (Colorado) | Primary |
Creekside Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10450 Park Meadows Dr, Suite 306, Lone Tree, CO 80124 Phone: 303-524-9343 | |
Neo New Early Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Station St Ste 100, Lone Tree, CO 80124 Phone: 303-690-0400 |