Organization
NIC - DENVER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRESTON HANSEN DDS (CEO)
(720) 459-5517
Entity
Organization
Contact information
Practice address
8000 E PRENTICE AVE STE A3, GREENWOOD VILLAGE, CO 80111-2725
(720) 459-5517
Mailing address
8000 E PRENTICE AVE STE A3, GREENWOOD VILLAGE, CO 80111-2725
(720) 459-5517
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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