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General NPI Number Information
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NPI Number | 1073225926
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Entity Type | Organization
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Legal Business Name | WEST METRO PEDIATRIC DENTISTRY PLLC
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 7180 E ORCHARD RD STE 301
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City | CENTENNIAL
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State | CO
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Zip | 80111-1727
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Country | US
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Telephone | 303-422-3746
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Fax |
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Provider Business Mailing Address
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Address Line | 15530 W 64TH AVE UNIT H
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City | ARVADA
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State | CO
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Zip | 80007-6874
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Country | US
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Telephone | 303-422-3746
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. BRYAN SAVAGE
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Credential | DDS
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Telephone | 303-422-3746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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