Organization
HOMECARE DENTAL SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET LEE (OFFICE MANAGER)
(303) 650-5800
Entity
Organization
Contact information
Practice address
7100 BROADWAY, DENVER, CO 80221-2915
(303) 650-5800
(303) 650-5801
Mailing address
7100 BROADWAY, DENVER, CO 80221-2917
(303) 650-5800
(303) 650-5801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90824521
—
CO
Enumeration date
01/17/2006
Last updated
03/31/2008
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