Main Street Dental Care PC
Dentist, General Practice in Aurora, CO. Organization (NPI-2).
NPI number1215631908
StatusActive
Last updated in NPPESMar 28, 2023
Details
- NPI
- 1215631908
- Entity type
- Organization (NPI-2)
- Legal business name
- Main Street Dental Care PC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2023
- Certification date
- Mar 24, 2023
- Last updated
- Mar 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Main Street Dental (Doing Business As)
Practice location
6240 S Main St Ste 295Aurora, CO 80016-5100
Phone 303-627-5460
Mailing address
11658 Bent Oaks StParker, CO 80138-5704
Phone 720-980-5619
Authorized official
Mark N Lawson
President
3036275460
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