# PERFECT TEETH-SPECIALTY CENTER PC

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

## Provider details

- **NPI number:** 1568770162
- **Authorized official:** ANGEL K MARTIN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (254) 216-0661

## Contact information

- **Practice address:** 1699 S COLORADO BLVD, BUILDING A, SUITE J, DENVER, CO 80222-4036
- **Practice address phone:** (303) 639-6000
- **Mailing address:** 7160 DALLAS PKWY STE 400, PLANO, TX 75024-7111
- **Mailing address phone:** (254) 216-0661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 10196 | CO | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10278 | CO | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 04/19/2021