| Perfect Teeth - East 104th Avenue P.c. | |
|
2200 E 104th Ave #112 Thornton CO 80233-4404 | |
| (303) 452-4142 | |
| (303) 254-8360 |
| Full Name | Perfect Teeth - East 104th Avenue P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 E 104th Ave, Thornton, Colorado |
| Authorized Official Name and Position | Laurie Summers (CREDENTIALING) |
| Authorized Official Contact | 3032856098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perfect Teeth - East 104th Avenue P.c. 2200 E 104th Ave #112 Thornton CO 80233-4404 Ph: (303) 452-4142 | Perfect Teeth - East 104th Avenue P.c. 2200 E 104th Ave #112 Thornton CO 80233-4404 Ph: (303) 452-4142 |
| NPI Number | 1922128859 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922128859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6097 (Colorado) | Primary |
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