Organization
AT HOME MOBILE DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL CONRAD CEJKA DDS (OWNER)
(720) 666-1162
Entity
Organization
Contact information
Practice address
18551 E MAINSTREET # 103, PARKER, CO 80134-4951
(720) 666-1162
Mailing address
18551 E MAINSTREET # 103, PARKER, CO 80134-4951
(720) 666-1162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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