| Aaa Family Dental Center Iii Pc | |
|
801 6th St Georgetown CO 80444-1022 | |
| (303) 569-3141 | |
| (303) 569-3041 |
| Full Name | Aaa Family Dental Center Iii Pc |
|---|---|
| Speciality | Dentist |
| Location | 801 6th St, Georgetown, Colorado |
| Authorized Official Name and Position | Thomas Losacco (PRESIDENT) |
| Authorized Official Contact | 3035693141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaa Family Dental Center Iii Pc Po Box 1022 Georgetown CO 80444-1022 Ph: (303) 569-3141 | Aaa Family Dental Center Iii Pc 801 6th St Georgetown CO 80444-1022 Ph: (303) 569-3141 |
| NPI Number | 1376733501 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376733501 | NPI | - | NPPES |
| 04011847 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 105584 (Colorado) | Secondary |
| 122300000X | Dentist | 105584 (Colorado) | Primary |