| Colorado Orthodontics Professional, Llc | |
|
9227 E Lincoln Ave Ste #800 Lone Tree CO 80124-5506 | |
| (720) 943-2152 | |
| Not Available |
| Full Name | Colorado Orthodontics Professional, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9227 E Lincoln Ave, Lone Tree, Colorado |
| Authorized Official Name and Position | Paul Hamersky (DENTIST) |
| Authorized Official Contact | 7209432152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Orthodontics Professional, Llc 9227 E Lincoln Ave Ste #800 Lone Tree CO 80124-5506 Ph: (720) 943-2152 | Colorado Orthodontics Professional, Llc 9227 E Lincoln Ave Ste #800 Lone Tree CO 80124-5506 Ph: (720) 943-2152 |
| NPI Number | 1164824769 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164824769 | NPI | - | NPPES |
| 4397 | Other | CO | STATE OF COLORADO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4397 (Colorado) | Primary |
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