Organization
LONGMONT FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANNE RENEE PIERSON DDS (OWNER/DENTIST)
(303) 746-3259
Entity
Organization
Contact information
Practice address
2929 17TH AVE, LONGMONT, CO 80503-1600
(303) 776-7804
(303) 774-6530
Mailing address
2929 17TH AVE, LONGMONT, CO 80503-1600
(303) 776-7804
(303) 774-6530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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