Organization
PERFECT TEETH - WEST 120TH AVENUE P.C.
Active
Other names
Perfect Teeth - West 120th Avenue P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
6650 W 120TH AVE, A-6, BROOMFIELD, CO 80020-7614
(303) 469-1970
(303) 469-6157
Mailing address
6650 W 120TH AVE, A-6, BROOMFIELD, CO 80020-7614
(303) 469-1970
(303) 469-6157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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