Organization
DENTISTRY AT LINCOLN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RAY (DDS)
(303) 768-8137
Entity
Organization
Contact information
Practice address
12624 WASHINGTON LN, SUITE 102, ENGLEWOOD, CO 80112-6015
(303) 768-8137
Mailing address
12624 WASHINGTON LN, SUITE 102, ENGLEWOOD, CO 80112-6015
(303) 768-8137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8696
CO
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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