Organization
WESTPARK PERIODONTICS & IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
8501 TURNPIKE DR UNIT 208, WESTMINSTER, CO 80031-7042
(303) 424-7757
Mailing address
8501 TURNPIKE DR UNIT 208, WESTMINSTER, CO 80031-7042
(303) 424-7757
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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