Organization
ADVANCED FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY A MCCLESKEY (PRACTICE ADMINISTRATOR)
(303) 985-8000
Entity
Organization
Contact information
Practice address
2598 S LEWIS WAY STE 3C, LAKEWOOD, CO 80227-2292
(303) 985-8000
(303) 985-8099
Mailing address
2598 S LEWIS WAY STE 3C, LAKEWOOD, CO 80227-2292
(303) 985-8000
(303) 985-8099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033366760
DENTAL
CO
01
—
1225325558
DENTAL
CO
Enumeration date
08/09/2012
Last updated
08/09/2012
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