| Perfect Teeth - Commerce City P.c. | |
|
15200 E. 104th Ave. Commerce City CO 80022 | |
| (303) 853-0003 | |
| (303) 853-0005 |
| Full Name | Perfect Teeth - Commerce City P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15200 E. 104th Ave., Commerce City, Colorado |
| Authorized Official Name and Position | Laurie Kay Arbuckle (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3032856098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perfect Teeth - Commerce City P.c. 15200 E. 104th Ave. Commerce City CO 80022 Ph: (303) 853-0003 | Perfect Teeth - Commerce City P.c. 15200 E. 104th Ave. Commerce City CO 80022 Ph: (303) 853-0003 |
| NPI Number | 1417320623 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417320623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5496 (Colorado) | Primary |
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