My Local Colorado Dental Practice, Llc | |
2721 W 120th Ave Ste 200 Westminster CO 80234-2946 | |
(303) 586-6985 | |
(719) 213-2311 |
Full Name | My Local Colorado Dental Practice, Llc |
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Speciality | Clinic/center - Dental |
Location | 2721 W 120th Ave Ste 200, Westminster, Colorado |
Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5093158338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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My Local Colorado Dental Practice, Llc 6110 Barnes Rd Colorado Springs CO 80922-2600 Ph: () - | My Local Colorado Dental Practice, Llc 2721 W 120th Ave Ste 200 Westminster CO 80234-2946 Ph: (303) 586-6985 |
NPI Number | 1366912180 |
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Provider Enumeration Date | 12/05/2018 |
Last Update Date | 12/05/2018 |
Identifier | Type | State | Issuer |
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1366912180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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