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Organization
OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC
Active
Organization
OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC
Active
Other names
Open and Affordable Dental Commerce City
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR TRAKTINSKIY DDS (OWNER)
(303) 260-9582
Entity
Organization
Contact information
Practice address
4972 E 62ND AVE UNIT B1, COMMERCE CITY, CO 80022-3253
(303) 288-4969
(303) 288-4969
Mailing address
4972 E 62ND AVE UNIT B1, COMMERCE CITY, CO 80022-3253
(303) 288-4969
(303) 288-4969
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000161964
—
CO
Enumeration date
01/19/2022
Last updated
01/19/2022
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