Organization
MAINSTREET DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA KAY COFFEE DDS (OWNER)
(720) 480-4580
Entity
Organization
Contact information
Practice address
19751 E MAINSTREET, R08, PARKER, CO 80138-7378
(303) 955-8490
(303) 997-9359
Mailing address
19751 E MAINSTREET, R08, PARKER, CO 80138-7378
(303) 955-8490
(303) 997-9359
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105608
CO
Other
Enumeration date
02/16/2007
Last updated
04/22/2013
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