Lincoln Ave Dentistry

NPI #1992195507 in Parker, Colorado

Provider Information

NPI Number: 1992195507
Entity Type: Organization
Organization Name: Lincoln Ave Dentistry
Primary Specialty: Dentist
Enumeration Date: Feb 3, 2015
Last Updated: Feb 3, 2015

Practice Location

Address: 16522 KEYSTONE BLVD
Address 2: UNIT T
City: Parker
State: Colorado
ZIP Code: 80134-3303
Phone: (720) 638-2075

Authorized Official

Name: DR. STANLEY SAMUEL, DDS
Title: PRESIDENT
Phone: (720) 638-2075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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