Organization
AA EMERGENCY DENTAL
Active
Other names
Emergency Dental Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A GIBLETTE (AUTHORIZED AGENT)
(303) 503-3184
Entity
Organization
Contact information
Practice address
7500 E ARAPAHOE RD STE 202, CENTENNIAL, CO 80112-1277
(303) 495-3443
Mailing address
916 N 7TH ST, COEUR D ALENE, ID 83814-3124
(303) 503-3184
(866) 839-8849
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
06/24/2019
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