Organization
COMMERCE CITY FAMILY DENTAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN KARLA DMD (OWNER/DENTIST)
(303) 288-4969
Entity
Organization
Contact information
Practice address
4972 E. 62ND AVE., STE. B-1, COMMERCE CITY, CO 80022
(303) 288-4969
(303) 286-6727
Mailing address
4972 E. 62ND AVE., STE. B-1, COMMERCE CITY, CO 80022
(303) 288-4969
(303) 286-6727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37433741
—
CO
Enumeration date
04/16/2014
Last updated
04/16/2014
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