| Main Street Dental, Pc | |
|
6240 S Main St Ste 295 Aurora CO 80016-5100 | |
| (303) 627-5460 | |
| Not Available |
| Full Name | Main Street Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6240 S Main St Ste 295, Aurora, Colorado |
| Authorized Official Name and Position | Brian Langenfeld (DENTIST) |
| Authorized Official Contact | 3036275460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental, Pc 6240 S Main St Ste 295 Aurora CO 80016-5100 Ph: (303) 627-5460 | Main Street Dental, Pc 6240 S Main St Ste 295 Aurora CO 80016-5100 Ph: (303) 627-5460 |
| NPI Number | 1962884841 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962884841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 104888 (Colorado) | Primary |
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