Organization
PINELAND DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA PLACE (ADMINISTRATOR)
(303) 681-9200
Entity
Organization
Contact information
Practice address
8520 SPRUCE MOUNTAIN ROAD, SUITE 110, LARKSPUR, CO 80118
(303) 681-9200
(303) 681-9204
Mailing address
8520 SPRUCE MOUNTAIN ROAD, SUITE 110, LARKSPUR, CO 80118
(303) 681-9200
(303) 681-9204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9201
CO
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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