Organization
PARKER PERIODONTICS & DENTAL IMPLANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN DE JULIO (OFFICE MANAGER)
(303) 309-0369
Entity
Organization
Contact information
Practice address
19700 E PARKER SQUARE DR, SUITE #3, PARKER, CO 80134-7301
(303) 309-0369
(303) 835-0033
Mailing address
19700 E PARKER SQUARE DR, SUITE #3, PARKER, CO 80134-7301
(303) 309-0369
(303) 835-0033
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9692
CO
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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