Organization
COLORADO GUM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A WHEELER D.M.D. (OWNER/DENTIST)
(303) 457-9617
Entity
Organization
Contact information
Practice address
899 HWY 287, SUITE 100, BROOMFIELD, CO 80020-7005
(303) 469-6375
Mailing address
11178 HURON ST, SUITE 100, NORTHGLENN, CO 80234-4370
(303) 457-9617
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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