Organization
BEAR DENTAL GROUP PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LEE DDS (OWNER)
(720) 240-1028
Entity
Organization
Contact information
Practice address
10815 W JEWELL AVE, SUITE L, LAKEWOOD, CO 80232-4851
(303) 988-6860
(303) 989-2058
Mailing address
10815 W JEWELL AVE, SUITE L, LAKEWOOD, CO 80232-4851
(303) 988-6860
(303) 989-2058
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9539
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92521258
—
CO
Enumeration date
06/16/2015
Last updated
06/16/2015
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