Suite 305 LLC

NPI #1003639071 in Lakewood, Colorado

Provider Information

NPI Number: 1003639071
Entity Type: Organization
Organization Name: Suite 305 LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HAMPDEN AVE DENTAL
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 6, 2024
Last Updated: Nov 6, 2024

Practice Location

Address: 7373 W JEFFERSON AVE STE 305
City: Lakewood
State: Colorado
ZIP Code: 80235-2021
Phone: (303) 985-1263

Authorized Official

Name: KONSTANTINOS HAROGIANNIS, DDS
Title: OWNER
Phone: (303) 985-1263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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