Organization
SOUTHLANDS COMPREHENSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS THOMASSON DDS (OWNER/DENTIST)
(303) 400-4865
Entity
Organization
Contact information
Practice address
6240 S MAIN ST STE 220, AURORA, CO 80016-5412
(303) 400-4865
(303) 400-5051
Mailing address
6240 S MAIN ST STE 220, AURORA, CO 80016-5412
(303) 400-4865
(303) 400-5051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104348
CO
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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