Organization
OPEN AND AFFORDABLE DENTAL AT HUDSON PLLC
Active
Other names
Open and Affordable Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON STOTT D.D.S. (OWNER)
(720) 580-1117
Entity
Organization
Contact information
Practice address
101 E. BISON HWY, UNIT A, HUDSON, CO 80642
(720) 580-1117
Mailing address
101 E. BISON HWY, UNIT A, HUDSON, CO 80642
(720) 580-1117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00202024
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96407069
—
CO
Enumeration date
06/23/2016
Last updated
06/23/2016
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