| Willow Creek Perfect Teeth Pc | |
|
8150 S Quebec St Ste C Centennial CO 80112-3186 | |
| (720) 728-6530 | |
| Not Available |
| Full Name | Willow Creek Perfect Teeth Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8150 S Quebec St Ste C, Centennial, Colorado |
| Authorized Official Name and Position | Diane Marie Brion-martin (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7204413423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Perfect Teeth Pc 7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 Ph: (720) 441-3423 | Willow Creek Perfect Teeth Pc 8150 S Quebec St Ste C Centennial CO 80112-3186 Ph: (720) 728-6530 |
| NPI Number | 1316553860 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316553860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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