| Comfort Dental Lafyette | |
|
535 W South Boulder Rd Suite 200 Lafayette CO 80026-2097 | |
| (303) 604-2804 | |
| (303) 604-0576 |
| Full Name | Comfort Dental Lafyette |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 535 W South Boulder Rd, Lafayette, Colorado |
| Authorized Official Name and Position | Hanaa M Jebril (OWNER) |
| Authorized Official Contact | 3036042804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Dental Lafyette 535 W South Boulder Rd Suite 200 Lafayette CO 80026-2097 Ph: (303) 604-2804 | Comfort Dental Lafyette 535 W South Boulder Rd Suite 200 Lafayette CO 80026-2097 Ph: (303) 604-2804 |
| NPI Number | 1417973025 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417973025 | NPI | - | NPPES |
| 09606564 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7249 (Colorado) | Primary |
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