Organization
TC ORTHODONTICS, PLLC
Active
Other names
Belmar Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CHARLES HARDY (PRESIDENT)
(303) 233-2445
Entity
Organization
Contact information
Practice address
311 S TELLER ST, LAKEWOOD, CO 80226-7387
(303) 233-2445
Mailing address
311 S TELLER ST, LAKEWOOD, CO 80226-7387
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00202076
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09772561
—
CO
Enumeration date
02/15/2016
Last updated
05/27/2016
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