Organization
DENALI DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL SEFCIK (OWNER)
(719) 383-2083
Entity
Organization
Contact information
Practice address
11401 WASHINGTON ST, NORTHGLENN, CO 80233-1912
(719) 383-2083
Mailing address
11401 WASHINGTON ST, NORTHGLENN, CO 80233-1912
(719) 383-2083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75276062
—
CO
Enumeration date
11/25/2015
Last updated
12/09/2015
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