Organization
MOUNTAIN DENTAL PC
Active
Parent organization
MOUNTAIN DENTAL INC
Other names
Mountain Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN DENTAL INC
Authorized official
MS. LORI PELKE (PROFESSIONAL SERVICES COORDINATOR)
(715) 926-5050
Entity
Organization
Contact information
Practice address
9800 W 59TH PL, ARVADA, CO 80004-5013
(715) 926-5050
(715) 926-4269
Mailing address
9800 W 59TH PL, ARVADA, CO 80004-5013
(715) 926-5050
(715) 926-4269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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