| Richard J. Ito, Dds, Pc | |
|
1905 Lawrence St Unit A Denver CO 80202-1826 | |
| (303) 296-1825 | |
| (303) 296-1825 |
| Full Name | Richard J. Ito, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1905 Lawrence St Unit A, Denver, Colorado |
| Authorized Official Name and Position | Richard J Ito (OWNER/DENTIST) |
| Authorized Official Contact | 3032961825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Ito, Dds, Pc 1905 Lawrence St Unit A Denver CO 80202-1826 Ph: (303) 296-1825 | Richard J. Ito, Dds, Pc 1905 Lawrence St Unit A Denver CO 80202-1826 Ph: (303) 296-1825 |
| NPI Number | 1871902171 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871902171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 104135 (Colorado) | Primary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |