Organization
ADVANCED DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SIMON (OWNER)
(303) 422-2020
Entity
Organization
Contact information
Practice address
8770 WADSWORTH BLVD, ARVADA, CO 80003
(303) 422-2020
(303) 422-8186
Mailing address
8770 WADSWORTH BLVD, ADVANCED DENTAL ARTS, ARVADA, CO 80003
(303) 422-2020
(303) 422-8186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105939
CO
Other
Enumeration date
06/29/2006
Last updated
08/22/2020
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