4th Avenue Family Dentistry, Llc

NPI 1013100387 - Dentist - 1223G0001X

NPI Details
NPI 1013100387
Enumeration Date 08/21/2007
Last Updated 08/21/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS THOMAS
Position DENTIST
Phone (303) 333-0771
Fax (303) 333-0779
Practice Location
390 UNIVERSITY BLVD
DENVER CO, 80206-4125, US
Phone (303) 333-0771
Fax (303) 333-0779
Business Location
390 UNIVERSITY BLVD
DENVER CO, 80206-4125, US
Phone (303) 333-0771
Fax (303) 333-0779
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, 4th Avenue Family Dentistry, Llc NPI is 1013100387, taxonomy code is 1223G0001X 4th Avenue Family Dentistry, Llc physically located at 390 University Blvd, Denver CO, 80206-4125. NPI Number 1033115704 has the healthcare provider type.

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1013100387 NPI number is provided on an as is basis without warranty of any kind. 1013100387 is maintained by the National Plan & Provider Enumeration System. The contents of 4th Avenue Family Dentistry, Llc are for informational purposes only.