Organization
CHARISMA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS LOZA DDS (OWNER)
(954) 609-6611
Entity
Organization
Contact information
Practice address
1880 S PIERCE ST STE 16B, LAKEWOOD, CO 80232-7143
(303) 953-1418
(720) 524-4411
Mailing address
1880 S PIERCE ST STE 16B, LAKEWOOD, CO 80232-7143
(303) 953-1418
(720) 524-4411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00202793
CO
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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