Organization
PEDO LAKEWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY CATMULL (MANAGER OF PEDO LAKEWOOD LLC)
(801) 885-0635
Entity
Organization
Contact information
Practice address
9990 W 26TH AVE, LAKEWOOD, CO 80215-1581
(303) 202-0880
(303) 202-0882
Mailing address
9990 W 26TH AVE, LAKEWOOD, CO 80215-1581
(303) 202-0880
(303) 202-0882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202066
CO
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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