Organization
INTEGRA DENTAL MILE HIGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON BERGLOFF (BUSINESS PARTNER)
(303) 369-0866
Entity
Organization
Contact information
Practice address
10200 E GIRARD AVE, BUILDING A SUITE 209, DENVER, CO 80231-5500
(303) 369-0866
Mailing address
10200 E GIRARD AVE, BUILDING A SUITE 209, DENVER, CO 80231-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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