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Organization

BENNETT DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANA L. PFANKUCH (BUSINESS ASSISTANT/OFFICE MANAGER)
(303) 429-3549
Entity
Organization

Contact information

Practice address
5130 W. 80TH AVE, SUITE 202, WESTMINSTER, CO 80030-4447
(303) 429-3549
(303) 427-9519
Mailing address
5130 W. 80TH AVE, SUITE 202, WESTMINSTER, CO 80030-4447
(303) 429-3549
(303) 427-9519

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/25/2006
Last updated
08/22/2020
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