South Federal Family Dentistry Pllc | |
5031 S Federal Blvd Ste 4 Englewood CO 80110-6368 | |
(303) 795-3517 | |
Not Available |
Full Name | South Federal Family Dentistry Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 5031 S Federal Blvd Ste 4, Englewood, Colorado |
Authorized Official Name and Position | Konstantinos Harogiannis (OWNER) |
Authorized Official Contact | 5162449249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Federal Family Dentistry Pllc 5031 S Federal Blvd Ste 4 Englewood CO 80110-6368 Ph: () - | South Federal Family Dentistry Pllc 5031 S Federal Blvd Ste 4 Englewood CO 80110-6368 Ph: (303) 795-3517 |
NPI Number | 1528652237 |
---|---|
Provider Enumeration Date | 02/23/2021 |
Last Update Date | 05/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528652237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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