Organization
GREENWOOD VILLAGE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
8000 E PRENTICE AVE STE D7, GREENWOOD VILLAGE, CO 80111-2728
(303) 835-9277
Mailing address
8000 E PRENTICE AVE STE D7, GREENWOOD VILLAGE, CO 80111-2728
(303) 835-9277
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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