| Union Square Dental Associates, P.c. | |
|
255 Union Blvd Suite 495 Lakewood CO 80228-1810 | |
| (303) 989-1423 | |
| Not Available |
| Full Name | Union Square Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 255 Union Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Randall Scott Hall (PRESIDENT) |
| Authorized Official Contact | 3039891423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Square Dental Associates, P.c. 255 Union Blvd Suite 495 Lakewood CO 80228-1810 Ph: (303) 989-1423 | Union Square Dental Associates, P.c. 255 Union Blvd Suite 495 Lakewood CO 80228-1810 Ph: (303) 989-1423 |
| NPI Number | 1740214923 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740214923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | HD1-00709 (Colorado) | Primary |
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