Hero Dental of Lakewood PC

NPI #1588268361 in Lakewood, Colorado

Provider Information

NPI Number: 1588268361
Entity Type: Organization
Organization Name: Hero Dental of Lakewood PC
Subpart: Yes (part of a larger organization)
Parent Organization: HERO DENTAL OF LAKEWOOD PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 23, 2020
Last Updated: Nov 23, 2020

Practice Location

Address: 6695 W COLFAX AVE
City: Lakewood
State: Colorado
ZIP Code: 80214-1805
Phone: (720) 279-2266

Authorized Official

Name: SHAUN URBANOZO
Title: CREDENTIALING MANAGER
Phone: (719) 323-2362

Specialties & Taxonomy Codes

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

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