Organization
NEO DENTAL CENTERS LOVELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY JANKOWSKI (BUSINESS MANAGER)
(720) 480-2217
Entity
Organization
Contact information
Practice address
126 E 29TH ST, LOVELAND, CO 80538-2724
(970) 635-4353
Mailing address
14991 E HAMPDEN AVE STE 300, AURORA, CO 80014-3987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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