Provider Demographics
NPI:1710670880
Name:ZIP MOBILE DENTISTRY PLLC
Entity Type:Organization
Organization Name:ZIP MOBILE DENTISTRY PLLC
Other - Org Name:ZIP DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MILENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BREZO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-933-0647
Mailing Address - Street 1:7150 LEETSDALE DR UNIT 110
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1999
Mailing Address - Country:US
Mailing Address - Phone:720-230-0770
Mailing Address - Fax:
Practice Address - Street 1:7150 LEETSDALE DR UNIT 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1999
Practice Address - Country:US
Practice Address - Phone:720-230-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental