Organization
ALPHA DENTAL CARE V PC
Active
Other names
Willow Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BLAKELEY DDS (PRESIDENT)
(303) 779-2797
Entity
Organization
Contact information
Practice address
9400 STATION ST, STE 175, LONE TREE, CO 80124-6808
(303) 779-2797
(303) 779-2687
Mailing address
9400 STATION ST, SUITE 175, LONE TREE, CO 80124-6808
(303) 779-2797
(303) 779-2687
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
CO
1223G0001X
General Practice Dentistry
—
CO
1223P0300X
Periodontics
—
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
CO
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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