Organization
LITTLETON ADVANCED FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG SEFCIK DDS (DENTIST)
(303) 794-1707
Entity
Organization
Contact information
Practice address
5622 S DELAWARE ST, LITTLETON, CO 80120-5408
(303) 794-1707
(303) 730-3402
Mailing address
5622 S DELAWARE ST, LITTLETON, CO 80120-5408
(303) 794-1707
(303) 730-3402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
00201897
CO
1223G0001X
General Practice Dentistry
Primary
10729
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75276062
—
CO
Enumeration date
10/13/2014
Last updated
10/13/2014
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