Organization
W.J. PONTARELLI, JR., D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J. PONTARELLI JR. D.D.S. (PRESIDENT)
(303) 936-5998
Entity
Organization
Contact information
Practice address
15 WADSWORTH BLVD, LAKEWOOD, CO 80226-1501
(303) 936-5998
Mailing address
15 WADSWORTH BLVD, LAKEWOOD, CO 80226-1501
(303) 936-5998
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
267
CO
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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