Organization
CETTIE-MANZO, DDS, PC
Active
Other names
Applewood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY MANZO JENKINS DDS (MANAGER)
(520) 548-3361
Entity
Organization
Contact information
Practice address
12495 W 32ND AVE, WHEAT RIDGE, CO 80033-5288
(303) 297-2707
(303) 237-2680
Mailing address
12495 W 32ND AVE, WHEAT RIDGE, CO 80033-5288
(303) 297-2707
(303) 237-2680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10269
CO
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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