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NPI Profile for 38TH MODERN DENTAL PRACTICE LLC in DENVER, CO.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dentist |
122300000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Periodontics |
1223P0300X |
| NPI # | 1609390632 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/01/2017 | |
| Last updated | 08/01/2017 - About 9 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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38TH MODERN DENTAL PRACTICE, LLC
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38TH MODERN DENTAL PRACTICE, LLC