Organization
INNER CITY HEALTH CENTER
Active
Other names
New Hope, Wheat Ridge Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA VILLAGRANA (DENTAL PRACTICE MANAGER)
(303) 296-4873
Entity
Organization
Contact information
Practice address
6301 W 38TH AVE, WHEAT RIDGE, CO 80033-5057
(303) 940-9118
Mailing address
6301 W 38TH AVE, WHEAT RIDGE, CO 80033-5057
(303) 940-9118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14003031
—
CO
Enumeration date
06/25/2008
Last updated
04/15/2022
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