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7150 E Hampden Ave Ste 104 Denver CO 80224-3025 | |
(303) 758-9511 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 7150 E Hampden Ave, Denver, Colorado |
Authorized Official Name and Position | Seongryeol Albert Kim (OWNER) |
Authorized Official Contact | 3037589511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7150 E Hampden Ave Ste 104 Denver CO 80224-3025 Ph: (303) 758-9511 | 7150 E Hampden Ave Ste 104 Denver CO 80224-3025 Ph: (303) 758-9511 |
NPI Number | 1093249476 |
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Provider Enumeration Date | 04/12/2017 |
Last Update Date | 04/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093249476 | NPI | - | NPPES |
18250068 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DEN 00202864 (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 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |