| Suite 305 Llc | |
|
7373 W Jefferson Ave Ste 305 Lakewood CO 80235-2021 | |
| (303) 985-1263 | |
| (303) 985-1659 |
| Full Name | Suite 305 Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7373 W Jefferson Ave Ste 305, Lakewood, Colorado |
| Authorized Official Name and Position | Konstantinos Harogiannis (OWNER) |
| Authorized Official Contact | 3039851263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suite 305 Llc 7373 W Jefferson Ave Ste 305 Lakewood CO 80235-2021 Ph: (303) 985-1263 | Suite 305 Llc 7373 W Jefferson Ave Ste 305 Lakewood CO 80235-2021 Ph: (303) 985-1263 |
| NPI Number | 1003639071 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003639071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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