Koala Center For Sleep Disorders Co1 | |
1660 S Albion St Suite 1008 Denver CO 80222-4008 | |
(303) 691-0267 | |
(303) 691-0268 |
Full Name | Koala Center For Sleep Disorders Co1 |
---|---|
Speciality | Dentist |
Location | 1660 S Albion St, Denver, Colorado |
Authorized Official Name and Position | Kevin Shawn Berry (DOCTOR OF DENTAL SURGERY) |
Authorized Official Contact | 3036910267 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Koala Center For Sleep Disorders Co1 11825 State Route 40 Suite 100 Dunlap IL 61525-8842 Ph: (309) 839-9941 | Koala Center For Sleep Disorders Co1 1660 S Albion St Suite 1008 Denver CO 80222-4008 Ph: (303) 691-0267 |
NPI Number | 1013448034 |
---|---|
Provider Enumeration Date | 03/22/2017 |
Last Update Date | 03/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013448034 | NPI | - | NPPES |
1003998485 | Other | CO | INDIVIDUAL NPI NUMBER |
1962765651 | Other | CO | DR. BERRY PC ORGANIZATION (TYPE 2) NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7991 (Colorado) | Primary |
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