5280 Dentistry And Anesthesia
Dentist, Dentist Anesthesiologist Speciality in Denver, CO. Organization (NPI-2).
NPI number1649785197
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1649785197
- Entity type
- Organization (NPI-2)
- Legal business name
- 5280 Dentistry And Anesthesia
- Organization subpart
- No
- Enumeration date
- Dec 6, 2017
- Last updated
- Dec 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0004X | Dentist, Dentist Anesthesiologist Speciality | DEN.202500 | CO | Yes |
Practice location
2422 Glenarm PlDenver, CO 80205-3129
Phone 602-391-8331
Mailing address
2422 Glenarm PlDenver, CO 80205-3129
Phone 602-391-8331
Authorized official
Zachary Xavier Van Hilsen
Owner
6023918331
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