Blue Mesa Dentistry at Southglenn
Blue Mesa Dentistry at Southglenn is a Dentist in Centennial, Colorado. Licensed in Colorado. Registered with an NPI since 2007.
- Licensed in
- CO
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
2001 E Easter Ave #200Centennial, CO 80122
Phone: (303) 703-4544
Fax: (303) 703-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6372 (CO) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 6619 (CO) |
Record details
| NPI number | 1881747319 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marissa Nicholson — Office Manager · (303) 703-4544 |
| NPI enumerated | January 19, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2001 E Easter Ave, 200, Centennial, CO 80122 |
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