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NPI Code Detail

MEDICARE: DR. MICHAEL JOHN GOLINVAUX D.D.S.

MEDICARE:  DR. MICHAEL JOHN GOLINVAUX  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5438CO

General Provider Information

NPI Number : 1437275435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JOHN GOLINVAUX D.D.S.
Provider Business Mailing Address
First Line : 1400 GLENARM PL
Second Line : #200
City : DENVER
State : CO
Zip : 80202-5034
Country : US
Telephone Number : 303-534-2626
Fax Number : 303-892-7953
Provider Business Practice Location Address
First Line : 1400 GLENARM PL
Second Line : #200
City : DENVER
State : CO
Zip : 80202-5034
Country : US
Telephone Number : 303-534-2626
Fax Number : 303-892-7953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL JOHN GOLINVAUX D.D.S.” Practice Location

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