Organization
MILE HIGH DENTAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM EDWARD BOONE II D.D.S. (PRESIDENT)
(303) 799-1715
Entity
Organization
Contact information
Practice address
1727 GILPIN ST, DENVER, CO 80218-1205
(303) 388-1661
Mailing address
8456 N HEATHER DR, CASTLE ROCK, CO 80108-9119
(303) 799-1715
(303) 799-1717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104302
CO
Other
Enumeration date
04/22/2007
Last updated
08/22/2020
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