Organization
EVERGREEN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD SHARP (DENTIST)
(303) 674-5566
Entity
Organization
Contact information
Practice address
31226 LEWIS RIDGE RD, EVERGREEN, CO 80439-7998
(303) 674-5566
(303) 674-8911
Mailing address
31226 LEWIS RIDGE RD, EVERGREEN, CO 80439-7998
(303) 674-5566
(303) 674-8911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HD104930
CO
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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