Southlands Dental Associates, Llc | |
6240 S Main St #220 Aurora CO 80016-5376 | |
(303) 400-4865 | |
(303) 400-5051 |
Full Name | Southlands Dental Associates, Llc |
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Speciality | Dentist |
Location | 6240 S Main St, Aurora, Colorado |
Authorized Official Name and Position | Thomas Lynn Thomasson (OWNER) |
Authorized Official Contact | 3034004865 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southlands Dental Associates, Llc 6240 S Main St #220 Aurora CO 80016-5376 Ph: (303) 400-4865 | Southlands Dental Associates, Llc 6240 S Main St #220 Aurora CO 80016-5376 Ph: (303) 400-4865 |
NPI Number | 1366602526 |
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Provider Enumeration Date | 06/11/2008 |
Last Update Date | 06/11/2008 |
Identifier | Type | State | Issuer |
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1366602526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 104348 (Colorado) | Primary |
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