Open And Affordable Dental Parker West PLLC
Dentist in Englewood, CO. Organization (NPI-2).
NPI number1336763556
StatusActive
Last updated in NPPESJun 9, 2020
Details
- NPI
- 1336763556
- Entity type
- Organization (NPI-2)
- Legal business name
- Open And Affordable Dental Parker West PLLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2020
- Certification date
- Jun 9, 2020
- Last updated
- Jun 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Open And Affordable Dental Parker West (Doing Business As)
Practice location
12501 E Lincoln Ave Unit 102Englewood, CO 80112-4753
Phone 303-768-8137
Mailing address
12501 E Lincoln Ave Unit 102Englewood, CO 80112-4753
Authorized official
Igor Traktinskiy
Owner
3037688137
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