Organization
THE DENVER DENTISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BURSON M.S., D.D.S. (OWNER DENTIST)
(720) 634-6221
Entity
Organization
Contact information
Practice address
2190 E 17TH AVE, DENVER, CO 80206-1126
(720) 634-6221
Mailing address
2190 E 17TH AVE, DENVER, CO 80206-1126
(720) 634-6221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN10283
CO
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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