Patra Watana Dmd Pediatric Dentistry Llc | |
8200 E. Belleview Ave. Suite #420e Greenwood Village CO 80111 | |
(303) 740-7088 | |
Not Available |
Full Name | Patra Watana Dmd Pediatric Dentistry Llc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 8200 E. Belleview Ave., Greenwood Village, Colorado |
Authorized Official Name and Position | Patra Watana (OWNER) |
Authorized Official Contact | 3037407088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patra Watana Dmd Pediatric Dentistry Llc 8200 E Belleview Ave Suite #420e Greenwood Village CO 80111-2803 Ph: (303) 740-7088 | Patra Watana Dmd Pediatric Dentistry Llc 8200 E. Belleview Ave. Suite #420e Greenwood Village CO 80111 Ph: (303) 740-7088 |
NPI Number | 1093121667 |
---|---|
Provider Enumeration Date | 07/03/2014 |
Last Update Date | 07/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093121667 | NPI | - | NPPES |
02123371 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 6614 (Colorado) | Primary |
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