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Organization
W.J. PONTARELLI, JR., D.D.S., P.C.
Active
Organization
W.J. PONTARELLI, JR., D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J. PONTARELLI JR. D.D.S. (PRESIDENT)
(303) 936-5998
Entity
Organization
Contact information
Practice address
15 WADSWORTH BLVD, LAKEWOOD, CO 80226-1501
(303) 936-5998
Mailing address
15 WADSWORTH BLVD, LAKEWOOD, CO 80226-1501
(303) 936-5998
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
267
CO
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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