Organization
LAKEWOOD DENTAL OF COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ SAWAQED (OWNER)
(720) 347-1162
Entity
Organization
Contact information
Practice address
84 GARRISON ST STE A, LAKEWOOD, CO 80226-7427
(303) 233-1112
Mailing address
3073 W 109TH PL, WESTMINSTER, CO 80031-6825
(720) 347-1162
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10098
CO
Other
Enumeration date
08/07/2013
Last updated
04/29/2016
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