Organization
PERFECT TEETH - COMMERCE CITY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE KAY ARBUCKLE (CREDENTIALING MANAGER)
(303) 285-6098
Entity
Organization
Contact information
Practice address
15200 E. 104TH AVE., COMMERCE CITY, CO 80022
(303) 853-0003
(303) 853-0005
Mailing address
15200 E. 104TH AVE., COMMERCE CITY, CO 80022
(303) 853-0003
(303) 853-0005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5496
CO
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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