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Organization
VIVOS PROVIDER NETWORK, LLC
Active
Organization
VIVOS PROVIDER NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD AMMAN (DIRECTOR)
(720) 399-9322
Entity
Organization
Contact information
Practice address
9135 RIDGELINE BLVD STE 100, HIGHLANDS RANCH, CO 80129-2392
(440) 714-7149
Mailing address
7921 SOUTHPARK PLZ STE 210, LITTLETON, CO 80120-4506
(720) 399-9322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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