| My Dentist Inc. | |
|
3955 E 120th Ave Ste B Thornton CO 80233-2075 | |
| (303) 255-4855 | |
| (303) 339-7912 |
| Full Name | My Dentist Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3955 E 120th Ave Ste B, Thornton, Colorado |
| Authorized Official Name and Position | Gregory Krainik (OWNER) |
| Authorized Official Contact | 3032554855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dentist Inc. 3955 E 120th Ave Ste B Thornton CO 80233-2075 Ph: (303) 255-4855 | My Dentist Inc. 3955 E 120th Ave Ste B Thornton CO 80233-2075 Ph: (303) 255-4855 |
| NPI Number | 1861663668 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861663668 | NPI | - | NPPES |
| 4947T | Other | NV | STATE LICSENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10-4900 (Colorado) | Primary |
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