Organization
ALTITUDE DENTISTRY PLLC
Active
Other names
Altitude Special Needs and Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHEEN M MOEZZI DDS (DENTIST/OWNER)
(702) 682-6789
Entity
Organization
Contact information
Practice address
5600 W 44TH AVE, DENVER, CO 80212-7339
(602) 391-8331
Mailing address
3330 W 34TH AVE, DENVER, CO 80211-3129
(602) 391-8331
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN.00202224
CO
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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