Organization
DENTIST IN CENTENNIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL REDDY EAMANI (MANAGER)
(803) 830-6881
Entity
Organization
Contact information
Practice address
20269 E SMOKY HILL RD UNIT H, CENTENNIAL, CO 80015-3112
(803) 830-6881
Mailing address
20269 E SMOKY HILL RD UNIT H, CENTENNIAL, CO 80015-3112
(803) 830-6881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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