| |
700 Broadway Ste 1135 Denver CO 80203-3421 | |
(303) 832-4867 | |
(303) 861-7267 |
Full Name | |
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Speciality | Dentist - Periodontics |
Location | 700 Broadway, Denver, Colorado |
Authorized Official Name and Position | Ann Somers (OWNER) |
Authorized Official Contact | 3038324867 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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700 Broadway Ste 1135 Denver CO 80203-3421 Ph: (303) 832-4867 | 700 Broadway Ste 1135 Denver CO 80203-3421 Ph: (303) 832-4867 |
NPI Number | 1619961844 |
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Provider Enumeration Date | 09/02/2005 |
Last Update Date | 03/11/2010 |
Identifier | Type | State | Issuer |
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1619961844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | 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 | |