Organization
HAMPDEN DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS THEODORE GAGNER (OWNER)
(719) 650-9525
Entity
Organization
Contact information
Practice address
616 S YORK ST, DENVER, CO 80209
(719) 650-9525
Mailing address
616 S YORK ST, DENVER, CO 80209-4643
(719) 650-9525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10010
CO
Other
Enumeration date
09/04/2014
Last updated
07/19/2019
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