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Organization

SOUTHPARK DENTISTRY P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BIANCA ELIZABETH HERNANDEZ (OFFICE MANAGER)
(303) 738-8826
Entity
Organization

Contact information

Practice address
8199 SOUTHPARK LN, SUITE 120, LITTLETON, CO 80120-5667
(303) 738-8826
(303) 738-8823
Mailing address
8199 SOUTHPARK LN, SUITE 120, LITTLETON, CO 80120-5667
(303) 738-8826
(303) 738-8823

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10138
CO

Other

Enumeration date
05/01/2017
Last updated
05/01/2017
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