Organization
GOLDEN PEAK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
1726 COLE BLVD STE 140, LAKEWOOD, CO 80401-3214
(303) 279-6929
Mailing address
1801 WEWATTA ST FL 11, DENVER, CO 80202-6318
(719) 414-0027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
08/30/2024
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