Organization
AMBIDA FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA CLETO AMBIDA D.M.D. (PRESIDENT)
(303) 790-8338
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST STE 225, LONE TREE, CO 80124-2890
(303) 790-8338
(300) 379-0833
Mailing address
9695 S YOSEMITE ST STE 225, LONE TREE, CO 80124-2890
(303) 790-8338
(300) 379-0833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7930
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922171941
DENTAL OFFICE 'S' CORPORATION
CO
Enumeration date
10/24/2008
Last updated
10/27/2008
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