Organization
ALPHA DENTAL CARE II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY PERRY THERIOT JR. DDS (OWNER)
(303) 758-4287
Entity
Organization
Contact information
Practice address
1660 S ALBION ST STE 715, DENVER, CO 80222-4045
(303) 758-4287
(303) 758-0225
Mailing address
1660 S ALBION ST STE 715, DENVER, CO 80222-4045
(303) 758-4287
(303) 758-0225
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
105385
CO
261QD0000X
Dental Clinic/Center
6671
CO
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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