Pedo Lakewood Llc

NPI 1275924425 - Dentist - 122300000X

NPI Details
NPI 1275924425
Enumeration Date 02/10/2015
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEREMY JEREMY
Position MANAGER OF PEDO LAKEWOOD LLC
Phone (303) 202-0880
Fax (303) 202-0882
Practice Location
9990 W 26TH AVE
LAKEWOOD CO, 80215-1581, US
Phone (303) 202-0880
Fax (303) 202-0882
Business Location
9990 W 26TH AVE
LAKEWOOD CO, 80215-1581, US
Phone (303) 202-0880
Fax (303) 202-0882
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number 00202066
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According to our database, Pedo Lakewood Llc NPI is 1275924425, taxonomy code is 122300000X and license number is 00202066, license state is located at Colorado. Pedo Lakewood Llc physically located at 9990 W 26th Ave, Lakewood CO, 80215-1581. NPI Number 1033115704 has the healthcare provider type.

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1275924425 NPI number is provided on an as is basis without warranty of any kind. 1275924425 is maintained by the National Plan & Provider Enumeration System. The contents of Pedo Lakewood Llc are for informational purposes only.