# CONSCIOUS DENTAL

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

## Provider details

- **NPI number:** 1093196362
- **Authorized official:** MARYLOUISE GARCIA (OFFICE MANAGER)
- **Authorized official phone:** (303) 364-6659

## Contact information

- **Practice address:** 200 QUEBEC ST, BUILDING 500 UNIT 105, DENVER, CO 80230-7144
- **Practice address phone:** (303) 364-6659
- **Practice address fax:** (303) 537-1222
- **Mailing address:** 200 QUEBEC ST, BUILDING 500 UNIT 105, DENVER, CO 80230-7144
- **Mailing address phone:** (303) 364-6659
- **Mailing address fax:** (303) 537-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7020 | CO | Yes |

## Other

- **Enumeration date:** 06/12/2015
- **Last updated:** 06/12/2015
