| Perfect Teeth-specialty Center Pc | |
|
1699 S Colorado Blvd Building A, Suite J Denver CO 80222-4036 | |
| (303) 639-6000 | |
| Not Available |
| Full Name | Perfect Teeth-specialty Center Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1699 S Colorado Blvd, Denver, Colorado |
| Authorized Official Name and Position | Angel K Martin (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2542160661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perfect Teeth-specialty Center Pc 7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 Ph: (254) 216-0661 | Perfect Teeth-specialty Center Pc 1699 S Colorado Blvd Building A, Suite J Denver CO 80222-4036 Ph: (303) 639-6000 |
| NPI Number | 1568770162 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568770162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 10196 (Colorado) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10278 (Colorado) | Primary |
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