Organization
BELMAR PARK DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G COLLINS DDS, FICOI (OWNER)
(303) 986-9522
Entity
Organization
Contact information
Practice address
1555 S WADSWORTH BLVD, LAKEWOOD, CO 80232-6832
(303) 986-9522
(303) 986-1869
Mailing address
1555 S WADSWORTH BLVD, LAKEWOOD, CO 80232-6832
(303) 986-9522
(303) 986-1869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CO 7064
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346212529
NPI
CO
01
—
1679745160
NPI
CO
Enumeration date
12/02/2015
Last updated
12/02/2015
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