Organization
ROBERT O'BRIEN DDS PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BOWMAN-FALCE (CONSULTANT)
(970) 231-1294
Entity
Organization
Contact information
Practice address
1446 HOVER ST, SUITE 100, LONGMONT, CO 80501-2485
(303) 684-9700
Mailing address
1446 HOVER ST, SUITE 100, LONGMONT, CO 80501-2485
(303) 684-9700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00007480
CO
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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