Organization
PAUL W ANDRUS DDS PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WILLIAM ANDRUS DDS (MEMBER-MANAGER)
(303) 233-0212
Entity
Organization
Contact information
Practice address
2009 WADSWORTH BLVD, SUITE 102, LAKEWOOD, CO 80214-5739
(303) 233-0212
Mailing address
2009 WADSWORTH BLVD, LAKEWOOD, CO 80214-5739
(303) 233-0212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
HD1-5147
CO
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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