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General NPI Number Information
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NPI Number | 1861069536
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Entity Type | Organization
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Legal Business Name | MATTHEW IRITANI, DDS, PLLC
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 8925 E UNION AVE
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1304
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Country | US
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Telephone | 303-740-7088
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Fax | 303-740-0091
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Provider Business Mailing Address
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Address Line | 8200 E BELLEVIEW AVE STE 420E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2890
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Country | US
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Telephone | 303-773-6969
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MATTHEW IRITANI
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Credential | DDS
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Telephone | 303-773-6969
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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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