Organization
BRANDON D VISSCHER DMD PLLC
Active
Other names
Golden Peak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN A CRISPE (BUSINESS MANAGER)
(303) 279-6929
Entity
Organization
Contact information
Practice address
1726 COLE BLVD, SUITE 140, LAKEWOOD, CO 80401-3213
(303) 279-6929
(303) 279-8907
Mailing address
1726 COLE BLVD, SUITE 140, LAKEWOOD, CO 80401-3213
(303) 279-6929
(303) 279-8907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/24/2012
Last updated
01/07/2020
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