JUSTIN FORD BECERRA

LAKEWOOD, CO
NPI1740649839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  DEN.00202851)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: CO  00202851)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-02-17
Last Update Date2019-11-19
Business Address
JUSTIN FORD BECERRA DDS
2323 S WADSWORTH BLVD STE 1778
LAKEWOOD, CO 80227-3274
Phone number: 303-980-4800
Mailing Address
JUSTIN FORD BECERRA DDS
11332 CENTRAL CT APT 15209
BROOMFIELD, CO 80021-5045
Phone number: 808-979-4771