| Open And Affordable Dental Parker West | |
|
12501 E Lincoln Ave Unit 102 Englewood CO 80112-4753 | |
| (303) 768-8137 | |
| Not Available |
| Full Name | Open And Affordable Dental Parker West |
|---|---|
| Speciality | Dentist |
| Location | 12501 E Lincoln Ave Unit 102, Englewood, Colorado |
| Authorized Official Name and Position | Igor Traktinskiy (OWNER) |
| Authorized Official Contact | 3037688137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open And Affordable Dental Parker West 12501 E Lincoln Ave Unit 102 Englewood CO 80112-4753 Ph: () - | Open And Affordable Dental Parker West 12501 E Lincoln Ave Unit 102 Englewood CO 80112-4753 Ph: (303) 768-8137 |
| NPI Number | 1336763556 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336763556 | NPI | - | NPPES |
| 9000161964 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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