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9227 E Lincoln Ave Suite 100 Lone Tree CO 80124-5506 | |
| (303) 925-0603 | |
| (303) 925-0604 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9227 E Lincoln Ave, Lone Tree, 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 |
|---|---|
9227 E Lincoln Ave Suite 100 Lone Tree CO 80124-5506 Ph: (303) 925-0603 | 9227 E Lincoln Ave Suite 100 Lone Tree CO 80124-5506 Ph: (303) 925-0603 |
| NPI Number | 1942321401 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942321401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6097 (Colorado) | Primary |
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