Provider Demographics
NPI:1609388776
Name:LITVAK ASSOCIATES, INC
Entity Type:Organization
Organization Name:LITVAK ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:S
Authorized Official - Last Name:LITVAK
Authorized Official - Suffix:
Authorized Official - Credentials:MS,DDS
Authorized Official - Phone:303-996-2963
Mailing Address - Street 1:695 S COLORADO BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-8013
Mailing Address - Country:US
Mailing Address - Phone:303-996-2963
Mailing Address - Fax:303-996-2965
Practice Address - Street 1:695 S COLORADO BLVD STE 320
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-8013
Practice Address - Country:US
Practice Address - Phone:303-996-2963
Practice Address - Fax:303-996-2965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO104927261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental