Organization
CRESTLINE DENTAL GROUP AND ORTHODONTICS, LLP
Active
Other names
CRESTLINE DETNAL GROUP AND ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F RODGERS DDS (OWNER DOCTOR)
(303) 979-4227
Entity
Organization
Contact information
Practice address
5392 S WADSWORTH BLVD, UNIT 103, LAKEWOOD, CO 80123-2227
(303) 979-4227
(303) 845-5120
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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