Shining Stars Kids Dentistry Pc | |
6999 W. Alaska Dr. Lakewood CO 80226 | |
(303) 237-2300 | |
(303) 237-4880 |
Full Name | Shining Stars Kids Dentistry Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 6999 W. Alaska Dr., Lakewood, Colorado |
Authorized Official Name and Position | Lawrence Musanje (DENTIST/OWNER) |
Authorized Official Contact | 3032372300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shining Stars Kids Dentistry Pc 6999 W. Alaska Dr. Lakewood CO 80226 Ph: (303) 237-2300 | Shining Stars Kids Dentistry Pc 6999 W. Alaska Dr. Lakewood CO 80226 Ph: (303) 237-2300 |
NPI Number | 1306136221 |
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Provider Enumeration Date | 04/12/2011 |
Last Update Date | 10/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306136221 | NPI | - | NPPES |
52024326 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | 9842 (Colorado) | Primary |
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