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General NPI Number Information
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NPI Number | 1053199968
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Entity Type | Organization
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Legal Business Name | EPIC DENTAL CARE PLLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 2599 WADSWORTH BLVD STE 3
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City | LAKEWOOD
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State | CO
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Zip | 80214-5640
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Country | US
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Telephone | 303-421-4820
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Fax | 303-421-4822
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Provider Business Mailing Address
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Address Line | 2599 WADSWORTH BLVD STE 3
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City | LAKEWOOD
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State | CO
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Zip | 80214-5640
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Country | US
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Telephone | 303-421-4820
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KRISTINA VADIMOVNA ROGOZHKINA
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Credential | DDS
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Telephone | 303-421-4820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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