Organization
ALPINE DENTAL SERVICES PLLC
Active
Other names
Alpine Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN F BECERRA DDS (MANAGER)
(303) 980-4800
Entity
Organization
Contact information
Practice address
2323 S WADSWORTH BLVD STE 1778, LAKEWOOD, CO 80227-3274
(303) 980-4800
Mailing address
2323 S WADSWORTH BLVD STE 1778, LAKEWOOD, CO 80227-3274
(303) 980-4800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003540281
CO STATE DRIVER LICENCE
—
Enumeration date
11/19/2019
Last updated
11/19/2019
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