Perfect Teeth - West 120th Avenue P.c.
NPI #1235250630 in Broomfield, Colorado
Provider Information
- NPI Number
- 1235250630
- Entity Type
- Organization
- Organization Name
- Perfect Teeth - West 120th Avenue P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6650 W 120TH AVE
- Address 2
- A-6
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-7614
- Phone
- (303) 469-1970
Authorized Official
- Name
- LAURIE SUMMERS
- Title
- CREDENTIALING
- Phone
- (303) 285-6098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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