Organization
SOUTHGLENN ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA GALLEGO D.M.D. (PRESIDENT)
(303) 797-3636
Entity
Organization
Contact information
Practice address
6650 S VINE ST, STE 200, CENTENNIAL, CO 80121-2735
(303) 797-3636
(303) 993-2048
Mailing address
6650 S VINE ST STE 200, CENTENNIAL, CO 80121-2735
(303) 797-3636
(303) 993-2048
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
9238
CO
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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