Mainstreet Dental | |
19751 E Mainstreet Ste R8 Parker CO 80138-7392 | |
(303) 955-8490 | |
Not Available |
Full Name | Mainstreet Dental |
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Speciality | Clinic/center - Dental |
Location | 19751 E Mainstreet Ste R8, Parker, Colorado |
Authorized Official Name and Position | Erik Chestnut (OWNER/PRESIDENT) |
Authorized Official Contact | 3039558490 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mainstreet Dental 19751 E Mainstreet Ste R8 Parker CO 80138-7392 Ph: () - | Mainstreet Dental 19751 E Mainstreet Ste R8 Parker CO 80138-7392 Ph: (303) 955-8490 |
NPI Number | 1316449523 |
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Provider Enumeration Date | 03/03/2018 |
Last Update Date | 03/03/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316449523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 202597 (Colorado) | Primary |
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