| W.j. Pontarelli, Jr., D.d.s., P.c. | |
|
15 Wadsworth Blvd Lakewood CO 80226-1501 | |
| (303) 936-5998 | |
| Not Available |
| Full Name | W.j. Pontarelli, Jr., D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 15 Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | William J. Pontarelli Jr. (PRESIDENT) |
| Authorized Official Contact | 3039365998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W.j. Pontarelli, Jr., D.d.s., P.c. 15 Wadsworth Blvd Lakewood CO 80226-1501 Ph: (303) 936-5998 | W.j. Pontarelli, Jr., D.d.s., P.c. 15 Wadsworth Blvd Lakewood CO 80226-1501 Ph: (303) 936-5998 |
| NPI Number | 1740306166 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740306166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 267 (Colorado) | Primary |
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