Organization
ADVANCED DENTAL CENTER, PLLC
Active
Other names
Advanced Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LYDIATT (OWNER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
1557 W 84TH AVE STE 1, FEDERAL HEIGHTS, CO 80260-4780
(303) 426-4860
(719) 414-0027
Mailing address
1557 W 84TH AVE STE 1, FEDERAL HEIGHTS, CO 80260-4780
(303) 426-4860
(719) 414-0027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
08/30/2024
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