Organization
BUCKLEY DENTAL LOFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYNETTE CHAVEZ (PRACTICE MANAGER)
(036) 963-6763
Entity
Organization
Contact information
Practice address
1710 S BUCKLEY RD UNIT 8A, AURORA, CO 80017-5639
(303) 696-6763
Mailing address
1710 S BUCKLEY RD UNIT 8A, AURORA, CO 80017-5639
(303) 696-6763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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