Provider Demographics
NPI:1396813879
Name:COMFORT DENTAL STROH RANCH
Entity Type:Organization
Organization Name:COMFORT DENTAL STROH RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-840-6543
Mailing Address - Street 1:12870 STROH RANCH WAY
Mailing Address - Street 2:#103
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7408
Mailing Address - Country:US
Mailing Address - Phone:303-840-6543
Mailing Address - Fax:303-840-1896
Practice Address - Street 1:12870 STROH RANCH WAY
Practice Address - Street 2:#103
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7408
Practice Address - Country:US
Practice Address - Phone:303-840-6543
Practice Address - Fax:303-840-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty