Organization
ASPEN DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN L VISGER D.D.S. (DENTIST)
(303) 772-6960
Entity
Organization
Contact information
Practice address
1720 DUCHESS DRIVE, LONGMONT, CO 80501-2032
(303) 772-6960
(303) 772-7215
Mailing address
1720 DUCHESS DR, LONGMONT, CO 80501-2032
(303) 772-6960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7130
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427139906
SEAN L. VISGER
CO
Enumeration date
03/30/2007
Last updated
08/22/2020
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