| Open And Affordable Dental Commerce City Pllc | |
|
4972 E 62nd Ave Unit B1 Commerce City CO 80022-3253 | |
| (303) 288-4969 | |
| (303) 288-4969 |
| Full Name | Open And Affordable Dental Commerce City Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 4972 E 62nd Ave Unit B1, Commerce City, Colorado |
| Authorized Official Name and Position | Igor Traktinskiy (OWNER) |
| Authorized Official Contact | 3032609582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open And Affordable Dental Commerce City Pllc 4972 E 62nd Ave Unit B1 Commerce City CO 80022-3253 Ph: (303) 288-4969 | Open And Affordable Dental Commerce City Pllc 4972 E 62nd Ave Unit B1 Commerce City CO 80022-3253 Ph: (303) 288-4969 |
| NPI Number | 1376295691 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376295691 | NPI | - | NPPES |
| 9000161964 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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Commerce City Family Dental, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4972 E. 62nd Ave., Ste. B-1, Commerce City, CO 80022 Phone: 303-288-4969 Fax: 303-286-6727 | |
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