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Organization

SPEAKS ORTHODONTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLIFTON CORY SPEAKS D.M.D. (MANAGING MEMBER)
(720) 496-3335
Entity
Organization

Contact information

Practice address
3141 N. IRVING ST., STE. 201, DENVER, CO 80211
(720) 496-3335
Mailing address
2763 KING ST, DENVER, CO 80211-4028

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9291
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32139853
CO
Enumeration date
01/31/2013
Last updated
01/31/2013
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