Village Park Dental Care Pc | |
11085 E Mississippi Ave Aurora CO 80012-3104 | |
(303) 364-6455 | |
Not Available |
Full Name | Village Park Dental Care Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 11085 E Mississippi Ave, Aurora, Colorado |
Authorized Official Name and Position | Mark Nathan Lawson (PRESIDENT) |
Authorized Official Contact | 3033646455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Village Park Dental Care Pc 11085 E Mississippi Ave Aurora CO 80012-3104 Ph: (303) 364-6455 | Village Park Dental Care Pc 11085 E Mississippi Ave Aurora CO 80012-3104 Ph: (303) 364-6455 |
NPI Number | 1548703325 |
---|---|
Provider Enumeration Date | 11/28/2016 |
Last Update Date | 11/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548703325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 9738 (Colorado) | Primary |
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