# SOUTHEAST DENTAL ARTS,LLC

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

## Provider details

- **NPI number:** 1760995476
- **Authorized official:** DR. ERIC A HAMIDI DMD (DENTIST)
- **Authorized official phone:** (303) 741-1011

## Contact information

- **Practice address:** 4380 S SYRACUSE ST STE 504, DENVER, CO 80237-2628
- **Practice address phone:** (303) 741-1011
- **Practice address fax:** (303) 741-1189
- **Mailing address:** 4380 S SYRACUSE ST STE 504, DENVER, CO 80237-2628
- **Mailing address phone:** (303) 741-1011
- **Mailing address fax:** (303) 741-1189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6988 | CO | Yes |

## Other

- **Enumeration date:** 11/16/2017
- **Last updated:** 11/16/2017
