Organization
WCD-2, PLLC
Active
Other names
Heim Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CORY BLACKWOOD (ACCOUNTING)
(303) 779-2797
Entity
Organization
Contact information
Practice address
200 W COUNTY LINE RD STE 270, HIGHLANDS RANCH, CO 80129-2342
(303) 791-2570
(303) 683-4198
Mailing address
9400 STATION ST STE 175, LONE TREE, CO 80124-6821
(303) 779-5797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6823
CO
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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