Organization
EMPIRE DENTAL 2, LLC
Active
Other names
Denver Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME COX (OWNER)
(720) 838-8904
Entity
Organization
Contact information
Practice address
2030 S FEDERAL BLVD, DENVER, CO 80219-5430
(303) 936-8204
Mailing address
PO BOX 344, LONGMONT, CO 80502-0344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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