Organization
PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C.
Active
Other names
Perfect Teeth - Sheridan and 64th Avenue P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTAILING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
5169 W 64TH AVE, ARVADA, CO 80003-6531
(303) 426-4050
(303) 426-4634
Mailing address
5169 W 64TH AVE, ARVADA, CO 80003-6531
(303) 426-4050
(303) 426-4634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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