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Organization
LIFT DENTAL PLLC
Active
Organization
LIFT DENTAL PLLC
Active
Other names
Artistic Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREY JACKSON THYGERSON DDS (DENTIST)
(303) 485-8888
Entity
Organization
Contact information
Practice address
920 S HOVER ST, LONGMONT, CO 80501-7900
(303) 485-8888
Mailing address
920 S HOVER ST, LONGMONT, CO 80501-7900
(303) 485-8888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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