# PHASE 3 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phase 3 Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164920377
- **Authorized official:** DR. BRIAN GOERINGER DMD (DENTIST/ OWNER)
- **Authorized official phone:** (570) 690-1718

## Contact information

- **Practice address:** 940 MC INTYRE ST APT B, GOLDEN, CO 80401-3914
- **Practice address phone:** (570) 690-1718
- **Mailing address:** 940 MC INTYRE ST APT B, GOLDEN, CO 80401-3914
- **Mailing address phone:** (570) 690-1718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DEN.00202673 | CO | Yes |

## Other

- **Enumeration date:** 01/23/2018
- **Last updated:** 01/23/2018