# 58 DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023417250
- **Authorized official:** DR. KYLE RYAN GRIFFITH D.M.D (PRESIDENT)
- **Authorized official phone:** (617) 861-5809

## Contact information

- **Practice address:** 7090 E HAMPDEN AVE, SUITE C, DENVER, CO 80224-3022
- **Practice address phone:** (303) 758-5252
- **Practice address fax:** (303) 691-1937
- **Mailing address:** 7090 E HAMPDEN AVE, SUITE C, DENVER, CO 80224-3022
- **Mailing address phone:** (303) 758-5252
- **Mailing address fax:** (303) 691-1937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 00201927 | CO | Yes |

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 08/13/2014