Table Mountain Dental Group | |
6410 Miller St # 15 Arvada CO 80004-2833 | |
(720) 822-9059 | |
Not Available |
Full Name | Table Mountain Dental Group |
---|---|
Speciality | Dentist |
Location | 6410 Miller St # 15, Arvada, Colorado |
Authorized Official Name and Position | Craig M Cardon (OWNER/PRESIDENT) |
Authorized Official Contact | 7208229059 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Table Mountain Dental Group 14333 W 48th Pl Golden CO 80403-1797 Ph: () - | Table Mountain Dental Group 6410 Miller St # 15 Arvada CO 80004-2833 Ph: (720) 822-9059 |
NPI Number | 1578090924 |
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Provider Enumeration Date | 05/16/2017 |
Last Update Date | 05/16/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578090924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 202212 (Colorado) | Primary |
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› Verified 8 days ago
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