Organization
DENTISTRY AT GOLDEN RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE IRWIN RICHARD DDS (OWNER DENTIST)
(303) 204-6339
Entity
Organization
Contact information
Practice address
755 HERITAGE RD STE 120, GOLDEN, CO 80401-3600
(303) 395-3333
Mailing address
755 HERITAGE RD STE 120, GOLDEN, CO 80401-3600
(303) 395-3333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9697
CO
122300000X
Dentist
9903
CO
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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