Organization
LOUISVILLE DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK SKINNER DMD (OWNER/PRESIDENT)
(303) 665-7505
Entity
Organization
Contact information
Practice address
1760 CENTENNIAL DR, LOUISVILLE, CO 80027-1302
(303) 665-7505
(303) 664-9941
Mailing address
1760 CENTENNIAL DR, LOUISVILLE, CO 80027-1302
(303) 665-7505
(303) 664-9941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
104857
CO
122300000X
Dentist
Primary
10514
CO
122300000X
Dentist
201865
CO
122300000X
Dentist
63
CO
Other
Enumeration date
05/05/2015
Last updated
01/05/2016
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