Stonegate Dental, Inc.

NPI #1902920705 in Parker, Colorado

Provider Information

NPI Number: 1902920705
Entity Type: Organization
Organization Name: Stonegate Dental, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 17021 LINCOLN AVE UNIT B
City: Parker
State: Colorado
ZIP Code: 80134-3146
Phone: (720) 851-7069

Authorized Official

Name: R. KELLY PETERSEN, D.D.S.
Title: PRESIDENT
Phone: (720) 851-7069

Specialties & Taxonomy Codes

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

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