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General NPI Number Information
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NPI Number | 1316395486
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Entity Type | Individual
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Provider Name | SETH KLASKO D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 150 MORNING SUN DR SUITE 200W
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City | WOODLAND PARK
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State | CO
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Zip | 80863-9160
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Country | US
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Telephone | 719-387-0472
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Fax |
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Provider Business Mailing Address
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Address Line | 808 STONE PARK LN APT 307
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City | WOODLAND PARK
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State | CO
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Zip | 80863-3175
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Country | US
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Telephone | 602-510-1308
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 00202842
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License Number State | CO
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