Organization
ACACIA DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA J LOTZE (OFFICE MANAGER)
(303) 781-0624
Entity
Organization
Contact information
Practice address
3627 S PENNSYLVANIA ST, ENGLEWOOD, CO 80113-3753
(303) 781-0624
(303) 781-9551
Mailing address
3624 S. PENNSYLVANIA ST., ENGLEWOOD, CO 80113
(303) 781-0624
(303) 781-9551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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