Open And Affordable Dental Parker West | |
12501 E Lincoln Ave Unit 102 Englewood CO 80112-4753 | |
(303) 768-8137 | |
Not Available |
Full Name | Open And Affordable Dental Parker West |
---|---|
Speciality | Dentist |
Location | 12501 E Lincoln Ave Unit 102, Englewood, Colorado |
Authorized Official Name and Position | Igor Traktinskiy (OWNER) |
Authorized Official Contact | 3037688137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Open And Affordable Dental Parker West 12501 E Lincoln Ave Unit 102 Englewood CO 80112-4753 Ph: () - | Open And Affordable Dental Parker West 12501 E Lincoln Ave Unit 102 Englewood CO 80112-4753 Ph: (303) 768-8137 |
NPI Number | 1336763556 |
---|---|
Provider Enumeration Date | 06/03/2020 |
Last Update Date | 06/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336763556 | NPI | - | NPPES |
9000161964 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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