Organization
COMFORT DENTAL WEST ARVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RANDALL MAYO (DENTIST PARTNER)
(303) 421-7000
Entity
Organization
Contact information
Practice address
14575 WEST 64TH AVE. SUITE A, ARVADA, CO 80004
(303) 421-7000
(303) 421-1687
Mailing address
14575 WEST 64TH AVE. SUITE A, ARVADA, CO 80004
(303) 421-7000
(303) 421-1687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7897
CO
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79874576
—
CO
Enumeration date
10/06/2006
Last updated
09/13/2022
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