| Park Place Dental | |
|
13764 E Quincy Ave Aurora CO 80015 | |
| (303) 690-0877 | |
| (303) 690-1250 |
| Full Name | Park Place Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13764 E Quincy Ave, Aurora, Colorado |
| Authorized Official Name and Position | Grady Randall (OWNER) |
| Authorized Official Contact | 3036900877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Dental 13764 E Quincy Ave Aurora CO 80015 Ph: (303) 690-0877 | Park Place Dental 13764 E Quincy Ave Aurora CO 80015 Ph: (303) 690-0877 |
| NPI Number | 1649512849 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649512849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN00201849 (Colorado) | Primary |
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