4th Avenue Family Dentistry, LLC

NPI #1013100387 in Denver, Colorado

Provider Information

NPI Number: 1013100387
Entity Type: Organization
Organization Name: 4th Avenue Family Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 390 UNIVERSITY BLVD
City: Denver
State: Colorado
ZIP Code: 80206-4125
Phone: (303) 333-0771

Authorized Official

Name: DR. THOMAS SWAIN, DDS
Title: DENTIST
Phone: (303) 333-0771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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