Stonegate Dental, Pllc

NPI #1669618740 in Parker, Colorado

Provider Information

NPI Number: 1669618740
Entity Type: Organization
Organization Name: Stonegate Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 19, 2008
Last Updated: Mar 10, 2009

Practice Location

Address: 17021 LINCOLN AVE
Address 2: UNIT B
City: Parker
State: Colorado
ZIP Code: 80134-3145
Phone: (720) 371-2309

Authorized Official

Name: MS. DIANE LEA SMITH
Title: REGIONAL DIRECTOR
Phone: (720) 371-2309

Specialties & Taxonomy Codes

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

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