Organization
EDGEWATER MODERN DENTISTRY AND ORTHODONTICS, LLP
Active
Other names
Edgewater Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN A ROBERTS DDS (OWNER DOCTOR)
(303) 202-3550
Entity
Organization
Contact information
Practice address
1921 SHERIDAN BLVD STE F, EDGEWATER, CO 80214-1325
(303) 202-3550
(303) 202-3551
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/28/2021
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