Organization
INTEGRATIVE DENTAL SOLUTIONS, PLLC
Active
Other names
Mainstreet Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK CHESTNUT DDS (OWNER/PRESIDENT)
(303) 955-8490
Entity
Organization
Contact information
Practice address
19751 E MAINSTREET STE R8, PARKER, CO 80138-7392
(303) 955-8490
Mailing address
19751 E MAINSTREET STE R8, PARKER, CO 80138-7392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
202597
CO
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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