| First Choice Dental 2, Professional Llc | |
|
2221 S Parker Rd Denver CO 80231-3482 | |
| (303) 320-0734 | |
| Not Available |
| Full Name | First Choice Dental 2, Professional Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2221 S Parker Rd, Denver, Colorado |
| Authorized Official Name and Position | Wameedh A Abdulameer (MEMBER) |
| Authorized Official Contact | 7203522333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Dental 2, Professional Llc 10963 E Evans Ave Aurora CO 80014-4721 Ph: (720) 352-2333 | First Choice Dental 2, Professional Llc 2221 S Parker Rd Denver CO 80231-3482 Ph: (303) 320-0734 |
| NPI Number | 1407443377 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407443377 | NPI | - | NPPES |
| 28821351 | Medicaid | CO | |
| 34000259 | Medicaid | CO | |
| DEN00201910 | Other | CO | STATE LICENSE |
| DEN201918 | Other | CO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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