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Organization
SOUTH FEDERAL FAMILY DENTISTRY PLLC
Active
Organization
SOUTH FEDERAL FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONSTANTINOS HAROGIANNIS DDS (OWNER)
(516) 244-9249
Entity
Organization
Contact information
Practice address
5031 S FEDERAL BLVD STE 4, ENGLEWOOD, CO 80110-6368
(303) 795-3517
Mailing address
5031 S FEDERAL BLVD STE 4, ENGLEWOOD, CO 80110-6368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/23/2021
Last updated
05/04/2021
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