Organization
HV LAKEWOOD LLC
Active
Other names
Adventure Dental Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA B LEBLANC (CREDENTIALING SPECIALIST)
(719) 323-2372
Entity
Organization
Contact information
Practice address
6695 W COLFAX AVE, LAKEWOOD, CO 80214-1805
(720) 279-2266
(303) 957-9787
Mailing address
2221 E BIJOU ST., STE. 100, COLORADO SPRINGS, CO 80909
(720) 279-2266
(303) 957-9787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14574250
—
CO
Enumeration date
08/04/2015
Last updated
11/23/2020
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