Organization
BLISS DENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI LYNN BRANDENBURG RDH, BSDH (OWNER/EMPLOYEE)
(303) 960-5880
Entity
Organization
Contact information
Practice address
9362 S COLORADO BLVD UNIT D14, HIGHLANDS RANCH, CO 80126-5207
(720) 608-9923
Mailing address
9615 E COUNTY LINE RD # B553, CENTENNIAL, CO 80112-3527
(720) 608-9923
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000905258
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770979254
CIGNA DENTAL
CO
05
—
1770979254
—
CO
Enumeration date
01/21/2018
Last updated
06/16/2018
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