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Organization

LARRY J ONEILL DMD PC

Active
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Organization

LARRY J ONEILL DMD PC

Active
Other names
Twin Aspen Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY J ONEILL DMD (PRESIDENT)
(303) 646-3935
Entity
Organization

Contact information

Practice address
779 CROSSROADS CR, ELIZABETH, CO 80107-2466
(303) 646-3935
(303) 379-5380
Mailing address
779 CROSSROADS CIRCLE, #2466, ELIZABETH, CO 80107-2466
(720) 646-3953
(303) 379-5380

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
7544
CO

Other

Enumeration date
05/30/2012
Last updated
04/06/2021
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