| Table Mountain Dental Group | |
|
6410 Miller St # 15 Arvada CO 80004-2833 | |
| (720) 822-9059 | |
| Not Available |
| Full Name | Table Mountain Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 6410 Miller St # 15, Arvada, Colorado |
| Authorized Official Name and Position | Craig M Cardon (OWNER/PRESIDENT) |
| Authorized Official Contact | 7208229059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Table Mountain Dental Group 14333 W 48th Pl Golden CO 80403-1797 Ph: () - | Table Mountain Dental Group 6410 Miller St # 15 Arvada CO 80004-2833 Ph: (720) 822-9059 |
| NPI Number | 1578090924 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 05/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578090924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 202212 (Colorado) | Primary |
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