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Individual

DR. DOMINIC EVAN PHILPOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
10780 N. WASHINGTON AVE., NORTHGLENN, CO 80233
(303) 452-6630
(303) 252-0237
Mailing address
10780 N. WASHINGTON AVE., NORTHGLENN, CO 80233
(303) 452-6630
(303) 252-0237

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019029483
IL
122300000X
Dentist
2013022866
MO
1223G0001X
General Practice Dentistry
Primary
00202061
CO

Other

Enumeration date
08/13/2013
Last updated
02/06/2014
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