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Organization

TLC MOBILE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIK MANOS (OWNER DENTIST)
(303) 877-1335
Entity
Organization

Contact information

Practice address
155 COOK ST, SUITE 110, DENVER, CO 80206-5325
(303) 877-1335
Mailing address
155 COOK ST, SUITE 110, DENVER, CO 80206-5325
(303) 877-1335

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CO

Other

Enumeration date
05/07/2017
Last updated
05/07/2017
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