Organization
ARVADA DENTAL EXCELLENCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON P GANONG DMD (OWNER)
(303) 422-8942
Entity
Organization
Contact information
Practice address
15530 W 64TH AVE, UNIT J, ARVADA, CO 80007
(303) 422-8942
Mailing address
15530 W 64TH AVE UNIT J, ARVADA, CO 80007-6874
(303) 422-8942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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