Larry M Gitlin DDS PC
Clinic/Center, Dental in Littleton, CO. Organization (NPI-2).
NPI number1760699417
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1760699417
- Entity type
- Organization (NPI-2)
- Legal business name
- Larry M Gitlin DDS PC
- Organization subpart
- No
- Enumeration date
- May 16, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 00749 | CO | Yes |
Practice location
11757 W Ken Caryl Ave#j
Littleton, CO 80127-3719
Phone 303-979-9488 · Fax 303-933-7765
Mailing address
11757 W Ken Caryl Ave#j
Littleton, CO 80127-3719
Phone 303-979-9488 · Fax 303-933-7765
Authorized official
Larry M Gitlin
President
3039799488
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