Organization
STONEGATE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE LEA SMITH (REGIONAL DIRECTOR)
(720) 371-2309
Entity
Organization
Contact information
Practice address
17021 LINCOLN AVE, UNIT B, PARKER, CO 80134-3145
(720) 371-2309
Mailing address
17021 LINCOLN AVE, UNIT B, PARKER, CO 80134-3145
(720) 371-2309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9694
CO
Other
Enumeration date
12/19/2008
Last updated
03/10/2009
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