Organization
WESTMINSTER DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RONALD VAN WAGENEN (PRESIDENT)
(303) 426-6662
Entity
Organization
Contact information
Practice address
8300 ALCOTT ST, 205, WESTMINSTER, CO 80031-4008
(303) 426-6662
(303) 426-1530
Mailing address
8300 ALCOTT ST, 205, WESTMINSTER, CO 80031-4008
(303) 426-6662
(303) 426-1530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8478
CO
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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