Organization
SOUTHLANDS DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LYNN THOMASSON DDS (OWNER)
(303) 400-4865
Entity
Organization
Contact information
Practice address
6240 S MAIN ST, #220, AURORA, CO 80016-5376
(303) 400-4865
(303) 400-5051
Mailing address
6240 S MAIN ST, #220, AURORA, CO 80016-5376
(303) 400-4865
(303) 400-5051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104348
CO
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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