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Contact Information

OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC
4972 E 62ND AVE UNIT B1
COMMERCE CITY, CO80022-3253
 Phone: 303-288-4969
 Fax: 303-288-4969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC · (Female)

NPI Number 1376295691
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2022
Last updated 01/19/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 9000161964
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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