Organization
PERFECT TEETH - 64TH AND WARD P.C.
Active
Other names
Perfect Teeth - 64th and Ward P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE K. SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
12650 W 64TH AVE, UNIT J, ARVADA, CO 80004-3893
(303) 423-9000
(303) 423-8249
Mailing address
12650 W 64TH AVE, UNIT J, ARVADA, CO 80004-3893
(303) 423-9000
(303) 423-8249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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