Organization
GLENDALE DENTAL GROUP P.C.
Active
Other names
Glendale Dental Group P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
4521 E VIRGINIA AVE, DENVER, CO 80246-1516
(303) 388-5501
(303) 388-5504
Mailing address
4521 E VIRGINIA AVE, DENVER, CO 80246-1516
(303) 388-5501
(303) 388-5504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3097
CO
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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