Mountain Dental PC

NPI #1275786527 in Arvada, Colorado

Provider Information

NPI Number: 1275786527
Entity Type: Organization
Organization Name: Mountain Dental PC
Subpart: Yes (part of a larger organization)
Parent Organization: MOUNTAIN DENTAL INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 30, 2008
Last Updated: Oct 30, 2008

Practice Location

Address: 9800 W 59TH PL
City: Arvada
State: Colorado
ZIP Code: 80004-5013
Phone: (715) 926-5050

Authorized Official

Name: MS. LORI PELKE
Title: PROFESSIONAL SERVICES COORDINATOR
Phone: (715) 926-5050

Specialties & Taxonomy Codes

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

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