| Thornton Valley Dental | |
|
16683 Washington St Bldg 5 Thornton CO 80023-8970 | |
| (303) 450-3165 | |
| Not Available |
| Full Name | Thornton Valley Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16683 Washington St Bldg 5, Thornton, Colorado |
| Authorized Official Name and Position | Evan Tyler Cettie (OWNER) |
| Authorized Official Contact | 8324706344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thornton Valley Dental 16683 Washington St Bldg 5 Thornton CO 80023-8970 Ph: (303) 450-3165 | Thornton Valley Dental 16683 Washington St Bldg 5 Thornton CO 80023-8970 Ph: (303) 450-3165 |
| NPI Number | 1972033280 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972033280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 00202110 (Colorado) | Primary |
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