Organization
AWESOME DENTAL, PLLC
Active
Other names
Awesome Dental Stapleton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK NGUYEN DDS (DENTIST)
(303) 355-1818
Entity
Organization
Contact information
Practice address
3600 QUEBEC ST, 2ND FLOOR, DENVER, CO 80207-1637
(303) 355-1818
Mailing address
3600 QUEBEC ST, 2ND FLOOR, DENVER, CO 80207-1637
(303) 355-1818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10155
CO
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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