Organization
HV NE DENVER LLC
Active
Other names
Adventure Dental Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA B LEBLANC (CREDENTIALING SPECIALIST)
(719) 323-2372
Entity
Organization
Contact information
Practice address
9333 E COLFAX AVE, AURORA, CO 80010-1919
(720) 697-5332
(720) 257-5337
Mailing address
2221 E BIJOU ST., STE. 100, COLORADO SPRINGS, CO 80909
(720) 697-5332
(720) 257-5337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT0001462
CO
152W00000X
Optometrist
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32720050
—
CO
Enumeration date
12/01/2015
Last updated
04/29/2021
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