Greenwood Village Dental LLC
NPI #1013551530 in Greenwood Village, Colorado
Provider Information
- NPI Number
- 1013551530
- Entity Type
- Organization
- Organization Name
- Greenwood Village Dental LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Oct 29, 2019
- Last Updated
- Oct 29, 2019
Practice Location
- Address
- 8000 E PRENTICE AVE STE D7
- State
- Colorado
- ZIP Code
- 80111-2728
- Phone
- (303) 835-9277
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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