| Lowry Family Dental Practice | |
|
200 Quebec St Bldg 500, Unit 105 Denver CO 80230-7144 | |
| (303) 364-6659 | |
| Not Available |
| Full Name | Lowry Family Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 200 Quebec St, Denver, Colorado |
| Authorized Official Name and Position | Cyrus Fanning (DENTIST) |
| Authorized Official Contact | 3033646659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowry Family Dental Practice 200 Quebec St Bldg 500, Unit 105 Denver CO 80230-7144 Ph: (303) 364-6659 | Lowry Family Dental Practice 200 Quebec St Bldg 500, Unit 105 Denver CO 80230-7144 Ph: (303) 364-6659 |
| NPI Number | 1679937551 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679937551 | NPI | - | NPPES |
| 7020 | Other | CO | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7020 (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 | |
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