Organization
OPEN AND AFFORDABLE DENTAL ENGLEWOOD PLLC
Active
Other names
Open and Affordable Dental Englewood
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR TRAKTINSKIY DDS (OWNER)
(720) 256-2254
Entity
Organization
Contact information
Practice address
101 W HAMPDEN AVE, ENGLEWOOD, CO 80110-2475
(720) 256-2254
Mailing address
101 W HAMPDEN AVE, ENGLEWOOD, CO 80110-2475
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000161964
—
CO
Enumeration date
08/31/2020
Last updated
08/31/2020
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