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Organization
AWESOME DENTAL, PLLC
Active
Organization
AWESOME DENTAL, PLLC
Active
Other names
Awesome Dental Stapleton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK NGUYEN DDS (DENTIST)
(303) 355-1818
Entity
Organization
Contact information
Practice address
3600 QUEBEC ST, 2ND FLOOR, DENVER, CO 80207-1637
(303) 355-1818
Mailing address
3600 QUEBEC ST, 2ND FLOOR, DENVER, CO 80207-1637
(303) 355-1818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10155
CO
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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