ON-SITE DENTIST, LLC

ENGLEWOOD, CO
NPI1366960775
Entity TypeOrganization
Authorized ContactTYSON PECHEK
Director Of Dentistry
719-821-2237
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  9163)
Enumeration Date2017-09-06
Last Update Date2017-10-10
Business Address
ON-SITE DENTIST, LLC
10734 E BERRY AVE
ENGLEWOOD, CO 80111-3972
Phone number: 719-821-2237
Mailing Address
ON-SITE DENTIST, LLC
PO BOX 3449
GREENWOOD VILLAGE, CO 80155-3449
Phone number: