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Organization
DESERVING DENTAL ORG
Active
Organization
DESERVING DENTAL ORG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER LYNN GEISELHOFER RDH (EXECUTIVE DIRECTOR)
(708) 650-6229
Entity
Organization
Contact information
Practice address
2205 W 136TH AVE # 106-159, BROOMFIELD, CO 80023-9306
(708) 650-6229
Mailing address
2205 W 136TH AVE # 106-159, BROOMFIELD, CO 80023-9306
(708) 650-6229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
01/31/2022
Last updated
02/02/2022
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