Organization
TOWER MODERN DENTAL PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT FREDERICK DDS (OWNER/DOCTOR)
(303) 317-5545
Entity
Organization
Contact information
Practice address
4998 TOWER RD, DENVER, CO 80249
(303) 317-5545
Mailing address
4998 TOWER RD, DENVER, CO 80249
(303) 317-5545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10115
CO
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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