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Organization

SUMMIT SMILES PLLC

Active
Parent organization
SUMMIT SMILES PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMIT SMILES PLLC
Authorized official
DR. JOHN LYDIATT DDS (OWNER)
(720) 638-6361
Entity
Organization

Contact information

Practice address
7300 E ARAPAHOE RD STE 500, CENTENNIAL, CO 80112-6147
(720) 638-6361
(720) 583-1354
Mailing address
7300 E ARAPAHOE RD STE 500, CENTENNIAL, CO 80112-6147
(720) 638-6361
(720) 583-1354

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/21/2022
Last updated
09/07/2022
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