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General NPI Number Information
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NPI Number | 1093848293
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Entity Type | Organization
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Legal Business Name | BRUCE A. UCHIDA D.D.S.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12600 W COLFAX AVE SUITE B100
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City | LAKEWOOD
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State | CO
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Zip | 80215-3733
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Country | US
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Telephone | 303-234-1349
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Fax | 303-234-1392
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Provider Business Mailing Address
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Address Line | 12600 W COLFAX AVE SUITE B100
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City | LAKEWOOD
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State | CO
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Zip | 80215-3733
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Country | US
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Telephone | 303-234-1349
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Fax | 303-234-1392
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. BRUCE ALAN UCHIDA
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Credential | D.D.S.
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Telephone | 303-234-1349
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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 | 104713
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License Number State | CO
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