Organization
4TH AVENUE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SWAIN DDS (DENTIST)
(303) 333-0771
Entity
Organization
Contact information
Practice address
390 UNIVERSITY BLVD, DENVER, CO 80206-4125
(303) 333-0771
(303) 333-0779
Mailing address
390 UNIVERSITY BLVD, DENVER, CO 80206-4125
(303) 333-0771
(303) 333-0779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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