Individual
PATRICK T PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6979 S HOLLY CIR, SUITE 185, CENTENNIAL, CO 80112-1065
(303) 771-0225
(303) 773-3726
Mailing address
6979 S HOLLY CIR, SUITE 185, CENTENNIAL, CO 80112-1065
(303) 771-0225
(303) 773-3726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105175
CO
Other
Enumeration date
11/06/2006
Last updated
04/30/2013
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