| South Broadway Dental Care | |
|
7261 S Broadway Ste 102 Littleton CO 80122-8018 | |
| (303) 798-2305 | |
| Not Available |
| Full Name | South Broadway Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 7261 S Broadway Ste 102, Littleton, Colorado |
| Authorized Official Name and Position | Daniel L Larsen (DENTIST/ VICE PRESIDENT) |
| Authorized Official Contact | 3037982305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Broadway Dental Care 7261 S Broadway Ste 102 Littleton CO 80122-8018 Ph: (303) 798-2305 | South Broadway Dental Care 7261 S Broadway Ste 102 Littleton CO 80122-8018 Ph: (303) 798-2305 |
| NPI Number | 1942757976 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942757976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10287 (Colorado) | Primary |
Jon W Caulfield, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7621 Shaffer Pkwy Ste A, Littleton, CO 80127 Phone: 303-972-2224 Fax: 303-972-2303 | |
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