| Commerce City Family Dental, L.l.c. | |
|
4972 E. 62nd Ave. Ste. B-1 Commerce City CO 80022 | |
| (303) 288-4969 | |
| (303) 286-6727 |
| Full Name | Commerce City Family Dental, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4972 E. 62nd Ave., Commerce City, Colorado |
| Authorized Official Name and Position | Mark Allen Karla (OWNER/DENTIST) |
| Authorized Official Contact | 3032884969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commerce City Family Dental, L.l.c. 4972 E. 62nd Ave. Ste. B-1 Commerce City CO 80022 Ph: (303) 288-4969 | Commerce City Family Dental, L.l.c. 4972 E. 62nd Ave. Ste. B-1 Commerce City CO 80022 Ph: (303) 288-4969 |
| NPI Number | 1144640210 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 04/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144640210 | NPI | - | NPPES |
| 37433741 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Colorado) | Primary |
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