| Standley Lake Family Dental | |
|
8721 Wadsworth Blvd Arvada CO 80003-0929 | |
| (720) 605-4302 | |
| Not Available |
| Full Name | Standley Lake Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8721 Wadsworth Blvd, Arvada, Colorado |
| Authorized Official Name and Position | Gregory Kostelac (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7193725605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Standley Lake Family Dental 8721 Wadsworth Blvd Arvada CO 80003-0929 Ph: (720) 605-4302 | Standley Lake Family Dental 8721 Wadsworth Blvd Arvada CO 80003-0929 Ph: (720) 605-4302 |
| NPI Number | 1417501180 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417501180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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