Organization
PHASE 3 LLC
Active
Other names
Phase 3 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN GOERINGER DMD (DENTIST/ OWNER)
(570) 690-1718
Entity
Organization
Contact information
Practice address
940 MC INTYRE ST APT B, GOLDEN, CO 80401-3914
(570) 690-1718
Mailing address
940 MC INTYRE ST APT B, GOLDEN, CO 80401-3914
(570) 690-1718
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN.00202673
CO
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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