Organization
HERO DENTAL OF LAKEWOOD PC
Active
Other names
Adventure Dental, Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIAILNG MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
6695 W COLFAX AVE, LAKEWOOD, CO 80214-1805
(720) 279-2266
(303) 957-9787
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CO
122300000X
Dentist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94158002
—
CO
Enumeration date
08/07/2015
Last updated
11/23/2020
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