| Commerce City Kids & Family Dental, Pllc | |
|
4972 E 62nd Ave Unit B1 Commerce City CO 80022-3253 | |
| (303) 288-4969 | |
| Not Available |
| Full Name | Commerce City Kids & Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4972 E 62nd Ave Unit B1, Commerce City, Colorado |
| Authorized Official Name and Position | Sonya Villarreal (DENTIST) |
| Authorized Official Contact | 5202529551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commerce City Kids & Family Dental, Pllc 3825 Pierson Ct Wheat Ridge CO 80033-3983 Ph: (520) 252-9551 | Commerce City Kids & Family Dental, Pllc 4972 E 62nd Ave Unit B1 Commerce City CO 80022-3253 Ph: (303) 288-4969 |
| NPI Number | 1265073233 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265073233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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