Wise Dental Care | |
7373 W Jefferson Ave #305 Lakewood CO 80235-2038 | |
(303) 985-1263 | |
(303) 985-1659 |
Full Name | Wise Dental Care |
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Speciality | Dentist |
Location | 7373 W Jefferson Ave, Lakewood, Colorado |
Authorized Official Name and Position | Randall S. Wise (PRESIDENT) |
Authorized Official Contact | 3039851263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wise Dental Care 7373 W. Jefferson Ave #305 Lakewood CO 80235 Ph: (303) 985-1263 | Wise Dental Care 7373 W Jefferson Ave #305 Lakewood CO 80235-2038 Ph: (303) 985-1263 |
NPI Number | 1912398173 |
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Provider Enumeration Date | 02/10/2015 |
Last Update Date | 02/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912398173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 809 (Colorado) | Primary |
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