| Northglenn Grin Ortho, Pllc | |
|
420 E 120th Ave Ste B11 Northglenn CO 80233-1113 | |
| (720) 453-3277 | |
| (303) 330-0714 |
| Full Name | Northglenn Grin Ortho, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 420 E 120th Ave Ste B11, Northglenn, Colorado |
| Authorized Official Name and Position | Colton Flake (MANAGING PARTNER) |
| Authorized Official Contact | 7205798855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northglenn Grin Ortho, Pllc 7999 S Country Club Pkwy Aurora CO 80016-1195 Ph: (720) 579-8855 | Northglenn Grin Ortho, Pllc 420 E 120th Ave Ste B11 Northglenn CO 80233-1113 Ph: (720) 453-3277 |
| NPI Number | 1720826795 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720826795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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