| Crestline Detnal Group And Orthodontics | |
|
5392 S Wadsworth Blvd Unit 103 Lakewood CO 80123-2227 | |
| (303) 979-4227 | |
| (303) 845-5120 |
| Full Name | Crestline Detnal Group And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5392 S Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Charles F Rodgers (OWNER DOCTOR) |
| Authorized Official Contact | 3039794227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestline Detnal Group And Orthodontics 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 368-2077 | Crestline Detnal Group And Orthodontics 5392 S Wadsworth Blvd Unit 103 Lakewood CO 80123-2227 Ph: (303) 979-4227 |
| NPI Number | 1740433762 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740433762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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