At Home Mobile Dental Corp.

NPI #1205485612 in Parker, Colorado

Provider Information

NPI Number: 1205485612
Entity Type: Organization
Organization Name: At Home Mobile Dental Corp.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 9, 2019
Last Updated: Sep 9, 2019

Practice Location

Address: 18551 E MAINSTREET # 103
City: Parker
State: Colorado
ZIP Code: 80134-4951
Phone: (720) 666-1162

Authorized Official

Name: DR. NATHANIEL CONRAD CEJKA, DDS
Title: OWNER
Phone: (720) 666-1162

Specialties & Taxonomy Codes

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

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