Organization
COLORADO ORTHODONTICS PROFESSIONAL, LLC
Active
Other names
Colorado Orthodontics Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HAMERSKY (DENTIST)
(720) 943-2152
Entity
Organization
Contact information
Practice address
9227 E LINCOLN AVE, STE #800, LONE TREE, CO 80124-5506
(720) 943-2152
Mailing address
9227 E LINCOLN AVE, STE #800, LONE TREE, CO 80124-5506
(720) 943-2152
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4397
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4397
STATE OF COLORADO
CO
Enumeration date
09/25/2014
Last updated
09/25/2014
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