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Organization

GREEN MOUNTAIN DENTAL PROF. LLC

Active
Other names
Comfort Dental Green Mountain
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK EDWARD KLEIN DDS (PARTNER)
(303) 727-9100
Entity
Organization

Contact information

Practice address
12810 W ALAMEDA PKWY, UNIT A, LAKEWOOD, CO 80228-3116
(303) 727-9100
(303) 727-8636
Mailing address
12810 W ALAMEDA PKWY, UNIT A, LAKEWOOD, CO 80228-3116
(303) 727-9100
(303) 727-8636

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105192
CO

Other

Enumeration date
09/16/2010
Last updated
09/16/2010
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