Organization
CAPITOL PREMIER DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE DAN YAHNIAN D.D.S. (DR/OWNER)
(303) 991-4455
Entity
Organization
Contact information
Practice address
3955 E EXPOSITION AVE, SUITE 310, DENVER, CO 80209-5000
(303) 991-4455
(303) 991-4456
Mailing address
3955 E EXPOSITION AVE, SUITE 310, DENVER, CO 80209-5000
(303) 991-4455
(303) 991-4456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6957
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326116328
—
CO
Enumeration date
02/27/2017
Last updated
02/27/2017
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