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General NPI Number Information
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NPI Number | 1609491257
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Entity Type | Organization
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Legal Business Name | WESTMINSTER DENTAL CARE PLLC
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 7970 SHERIDAN BLVD STE 300A
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City | WESTMINSTER
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State | CO
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Zip | 80003-6200
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Country | US
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Telephone | 720-390-5947
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Fax | 720-307-3467
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Provider Business Mailing Address
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Address Line | 7970 SHERIDAN BLVD STE 300A
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City | WESTMINSTER
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State | CO
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Zip | 80003-6200
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Country | US
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Telephone | 720-390-5947
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Fax | 720-307-3467
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. DYLAN MCKNIGHT
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Credential | DMD
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Telephone | 804-307-3297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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