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Organization

58 DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KYLE RYAN GRIFFITH D.M.D (PRESIDENT)
(617) 861-5809
Entity
Organization

Contact information

Practice address
7090 E HAMPDEN AVE, SUITE C, DENVER, CO 80224-3022
(303) 758-5252
(303) 691-1937
Mailing address
7090 E HAMPDEN AVE, SUITE C, DENVER, CO 80224-3022
(303) 758-5252
(303) 691-1937

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
00201927
CO

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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