Individual
JAN DIANE PARKER SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7180 E ORCHARD RD, CENTENNIAL, CO 80111-1724
(303) 741-9949
(303) 741-9969
Mailing address
7180 E ORCHARD RD, CENTENNIAL, CO 80111-1724
(303) 741-9949
(303) 741-9969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6057
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6057
STATE LICENSE
CO
Enumeration date
10/19/2006
Last updated
07/08/2007
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