Organization
LINCOLN AVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY SAMUEL DDS (PRESIDENT)
(720) 638-2075
Entity
Organization
Contact information
Practice address
16522 KEYSTONE BLVD, UNIT T, PARKER, CO 80134-3303
(720) 638-2075
(303) 284-2540
Mailing address
16522 KEYSTONE BLVD, UNIT T, PARKER, CO 80134-3303
(720) 638-2075
(303) 284-2540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN 10365
CO
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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