Organization
ENDODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE LUTHER (BUSINESS MANAGER)
(303) 796-7676
Entity
Organization
Contact information
Practice address
8120 S HOLLY ST., STE 214, CENTENNIAL, CO 80122
(303) 796-7676
Mailing address
8120 S HOLLY ST., STE 214, CENTENNIAL, CO 80122
(303) 796-7676
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
CO
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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