| Perfect Teeth - West 120th Avenue P.c. | |
|
6650 W 120th Ave A-6 Broomfield CO 80020-7614 | |
| (303) 469-1970 | |
| (303) 469-6157 |
| Full Name | Perfect Teeth - West 120th Avenue P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6650 W 120th Ave, Broomfield, Colorado |
| Authorized Official Name and Position | Laurie Summers (CREDENTIALING) |
| Authorized Official Contact | 3032856098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perfect Teeth - West 120th Avenue P.c. 6650 W 120th Ave A-6 Broomfield CO 80020-7614 Ph: (303) 469-1970 | Perfect Teeth - West 120th Avenue P.c. 6650 W 120th Ave A-6 Broomfield CO 80020-7614 Ph: (303) 469-1970 |
| NPI Number | 1235250630 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235250630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6097 (Colorado) | Primary |
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› Verified 8 days ago
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