| South Federal Family Dentistry Pllc | |
|
5031 S Federal Blvd Ste 4 Englewood CO 80110-6368 | |
| (303) 795-3517 | |
| Not Available |
| Full Name | South Federal Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5031 S Federal Blvd Ste 4, Englewood, Colorado |
| Authorized Official Name and Position | Konstantinos Harogiannis (OWNER) |
| Authorized Official Contact | 5162449249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Federal Family Dentistry Pllc 5031 S Federal Blvd Ste 4 Englewood CO 80110-6368 Ph: () - | South Federal Family Dentistry Pllc 5031 S Federal Blvd Ste 4 Englewood CO 80110-6368 Ph: (303) 795-3517 |
| NPI Number | 1528652237 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528652237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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