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Organization

SUITE 305 LLC

Active
Parent organization
HAMPDEN AVE DENTAL
Other names
Hampden Ave Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
HAMPDEN AVE DENTAL
Authorized official
KONSTANTINOS HAROGIANNIS DDS (OWNER)
(303) 985-1263
Entity
Organization

Contact information

Practice address
7373 W JEFFERSON AVE STE 305, LAKEWOOD, CO 80235-2021
(303) 985-1263
(303) 985-1659
Mailing address
7373 W JEFFERSON AVE STE 305, LAKEWOOD, CO 80235-2021
(303) 985-1263
(303) 985-1659

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/06/2024
Last updated
11/06/2024
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