| Sj Dental Pc | |
|
6979 S Holly Cir #225 Centennial CO 80112-1577 | |
| (303) 779-1305 | |
| (303) 779-1869 |
| Full Name | Sj Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 6979 S Holly Cir, Centennial, Colorado |
| Authorized Official Name and Position | Maria Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 3037791305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sj Dental Pc 6979 S Holly Cir #225 Centennial CO 80112-1577 Ph: () - | Sj Dental Pc 6979 S Holly Cir #225 Centennial CO 80112-1577 Ph: (303) 779-1305 |
| NPI Number | 1285905810 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285905810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9614 (Colorado) | Secondary |
| 122300000X | Dentist | 9613 (Colorado) | Primary |
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