Organization
ORCHARD COSMETIC & FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ROSE (PRACTICE MANAGER)
(303) 501-0763
Entity
Organization
Contact information
Practice address
14694 ORCHARD PKWY, WESTMINSTER, CO 80023-9197
(303) 501-0763
(303) 371-1876
Mailing address
14694 ORCHARD PKWY, WESTMINSTER, CO 80023-9197
(303) 501-0763
(303) 371-1876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10061
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265421077
INDIVIDUAL NPI
CO
Enumeration date
09/13/2012
Last updated
09/13/2012
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