Co Specialty Dental Services Pllc | |
2020 Wadsworth Blvd Ste 18a Lakewood CO 80214-5730 | |
(303) 462-1462 | |
Not Available |
Full Name | Co Specialty Dental Services Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2020 Wadsworth Blvd Ste 18a, Lakewood, Colorado |
Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
Authorized Official Contact | 5046380303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Co Specialty Dental Services Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: () - | Co Specialty Dental Services Pllc 2020 Wadsworth Blvd Ste 18a Lakewood CO 80214-5730 Ph: (303) 462-1462 |
NPI Number | 1982346375 |
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Provider Enumeration Date | 04/07/2022 |
Last Update Date | 04/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982346375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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