58 Dental

NPI 1023417250 - Clinic/Center - 261QD0000X

NPI Details
NPI 1023417250
Enumeration Date 08/13/2014
Last Updated 08/13/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KYLE RYAN KYLE
Position PRESIDENT
Phone (303) 758-5252
Fax (303) 691-1937
Practice Location
7090 E HAMPDEN AVE
SUITE C
DENVER CO, 80224-3022, US
Phone (303) 758-5252
Fax (303) 691-1937
Business Location
7090 E HAMPDEN AVE
SUITE C
DENVER CO, 80224-3022, US
Phone (303) 758-5252
Fax (303) 691-1937
Toxanomy
Taxonomy Code 261QD0000X
License State Colorado
License Number 00201927
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According to our database, 58 Dental NPI is 1023417250, taxonomy code is 261QD0000X and license number is 00201927, license state is located at Colorado. 58 Dental physically located at 7090 E Hampden Ave, Denver CO, 80224-3022. NPI Number 1033115704 has the healthcare provider type.

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1023417250 NPI number is provided on an as is basis without warranty of any kind. 1023417250 is maintained by the National Plan & Provider Enumeration System. The contents of 58 Dental are for informational purposes only.