# PLAZA DENTAL PARKER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plaza Dental Parker
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538889027
- **Authorized official:** DR. CHRISTOPHER GREEN (MEMBER)
- **Authorized official phone:** (708) 917-8019

## Contact information

- **Practice address:** 10470 S PROGRESS WAY UNIT 100, PARKER, CO 80134-4037
- **Practice address phone:** (720) 870-9500
- **Mailing address:** 6450 S DOWNING ST, CENTENNIAL, CO 80121-2518
- **Mailing address phone:** (708) 917-8019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2022
- **Last updated:** 09/12/2022