Organization
DENVER DENTAL SPA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRADA HRDLICKA (OWNER)
(763) 639-4503
Entity
Organization
Contact information
Practice address
1905 LAWRENCE ST UNIT D, DENVER, CO 80202-1826
(763) 639-4503
Mailing address
1905 LAWRENCE ST UNIT D, DENVER, CO 80202-1826
(763) 639-4503
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 906414
CO
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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