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8745 E Orchard Rd Ste 513 Greenwood Village CO 80111-5007 | |
| (303) 758-3414 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8745 E Orchard Rd Ste 513, Greenwood Village, Colorado |
| Authorized Official Name and Position | Derek Atwood Straffon (ORTHODONTIST) |
| Authorized Official Contact | 3037583414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8745 E Orchard Rd Ste 513 Greenwood Village CO 80111-5007 Ph: (303) 758-3414 | 8745 E Orchard Rd Ste 513 Greenwood Village CO 80111-5007 Ph: (303) 758-3414 |
| NPI Number | 1699848333 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699848333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8341 (Colorado) | Primary |
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