Individual
DR. WILLAIM JOSEPH PONTARELLI JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15 WADSWORTH BLVD, LAKEWOOD, CO 80226-1501
(303) 936-5998
Mailing address
15 WADSWORTH BLVD, LAKEWOOD, CO 80226-1501
(303) 936-5998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
267
CO
Other
Enumeration date
11/29/2005
Last updated
07/08/2007
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