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General NPI Number Information
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NPI Number | 1336958230
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Entity Type | Organization
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Legal Business Name | ENG ORTHODONTICS ARVADA PLLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 18148 W 92ND LN UNIT 500
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City | ARVADA
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State | CO
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Zip | 80007-8164
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Country | US
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Telephone | 720-800-9331
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Fax |
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Provider Business Mailing Address
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Address Line | 195 TELLURIDE ST UNIT 6
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City | BRIGHTON
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State | CO
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Zip | 80601-4358
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Country | US
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Telephone | 303-498-0351
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ALBERT ENG
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Credential | DDS MS
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Telephone | 319-471-1354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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