Organization
SOUTHEAST DENTAL ARTS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC A HAMIDI DMD (DENTIST)
(303) 741-1011
Entity
Organization
Contact information
Practice address
4380 S SYRACUSE ST STE 504, DENVER, CO 80237-2628
(303) 741-1011
(303) 741-1189
Mailing address
4380 S SYRACUSE ST STE 504, DENVER, CO 80237-2628
(303) 741-1011
(303) 741-1189
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6988
CO
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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