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Individual

DR. CHAD MICHAEL BELONGEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7735 W LONG DR UNIT 9, LITTLETON, CO 80123-1262
(303) 933-8880
(303) 442-4396
Mailing address
10843 HEATHERTON ST, HIGHLANDS RANCH, CO 80130-6622
(419) 779-0985

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00201939
CO
1223G0001X
General Practice Dentistry
30021385
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30021385
DENTAL LICENSE
OH
01
DEN.00201939
DENTAL LICENSE
CO
Enumeration date
06/10/2005
Last updated
03/15/2015
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