Organization
RETRO DENTAL BROOMFIELD DBD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIN HOUSER DDS (CHIEF DENTAL OFFICER)
(719) 332-4949
Entity
Organization
Contact information
Practice address
5015 W 120TH AVE, BROOMFIELD, CO 80020-5606
(303) 466-2935
Mailing address
5015 W 120TH AVE, BROOMFIELD, CO 80020-5606
(303) 466-2935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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