| Green Dental Studio | |
|
6851 S Holly Cir Ste 250 Centennial CO 80112-1050 | |
| (303) 770-3333 | |
| Not Available |
| Full Name | Green Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6851 S Holly Cir Ste 250, Centennial, Colorado |
| Authorized Official Name and Position | Richard E Green (OWNER) |
| Authorized Official Contact | 3037703333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Dental Studio 6851 S Holly Cir Ste 250 Centennial CO 80112-1050 Ph: (303) 770-3333 | Green Dental Studio 6851 S Holly Cir Ste 250 Centennial CO 80112-1050 Ph: (303) 770-3333 |
| NPI Number | 1053521211 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053521211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 105403 (Colorado) | Primary |
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