Organization
VILLAGE PARK DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK NATHAN LAWSON D.D.S. (PRESIDENT)
(303) 364-6455
Entity
Organization
Contact information
Practice address
11085 E MISSISSIPPI AVE, AURORA, CO 80012-3104
(303) 364-6455
Mailing address
11085 E MISSISSIPPI AVE, AURORA, CO 80012-3104
(303) 364-6455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9738
CO
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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