| Southglenn Endodontics | |
|
6650 S Vine St Ste 200 Centennial CO 80121-2735 | |
| (303) 797-3636 | |
| (303) 993-2048 |
| Full Name | Southglenn Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6650 S Vine St, Centennial, Colorado |
| Authorized Official Name and Position | Sonia Gallego (PRESIDENT) |
| Authorized Official Contact | 3037973636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southglenn Endodontics 6650 S Vine St Ste 200 Centennial CO 80121-2735 Ph: (303) 797-3636 | Southglenn Endodontics 6650 S Vine St Ste 200 Centennial CO 80121-2735 Ph: (303) 797-3636 |
| NPI Number | 1013245422 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013245422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 9238 (Colorado) | Primary |
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