Organization
PIONEER DENTAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN MARSHALL DDS (OWNER)
(352) 279-0376
Entity
Organization
Contact information
Practice address
340 JUSTIN AVE STE 102, PLATTEVILLE, CO 80651-7819
(970) 785-6280
Mailing address
479 JOSEPHINE ST, DENVER, CO 80206-4208
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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