On-Site Dentist, LLC

NPI #1366960775 in Englewood, Colorado

Provider Information

NPI Number
1366960775
Entity Type
Organization
Organization Name
On-Site Dentist, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 6, 2017
Last Updated
Oct 10, 2017

Practice Location

Address
10734 E BERRY AVE
ZIP Code
80111-3972
Phone
(719) 821-2237

Authorized Official

Name
TYSON PECHEK, DDS
Title
DIRECTOR OF DENTISTRY
Phone
(719) 821-2237

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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