| Pedo Lakewood Llc | |
|
9990 W 26th Ave Lakewood CO 80215-1581 | |
| (303) 202-0880 | |
| (303) 202-0882 |
| Full Name | Pedo Lakewood Llc |
|---|---|
| Speciality | Dentist |
| Location | 9990 W 26th Ave, Lakewood, Colorado |
| Authorized Official Name and Position | Jeremy Catmull (MANAGER OF PEDO LAKEWOOD LLC) |
| Authorized Official Contact | 8018850635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedo Lakewood Llc 9990 W 26th Ave Lakewood CO 80215-1581 Ph: (303) 202-0880 | Pedo Lakewood Llc 9990 W 26th Ave Lakewood CO 80215-1581 Ph: (303) 202-0880 |
| NPI Number | 1275924425 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275924425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00202066 (Colorado) | Primary |
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