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Organization

CO SPECIALTY DENTAL SERVICES, PLLC

Active
Parent organization
CO SPECIALTY DENTAL SERVICES, PLLC
Other names
Longmont Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
CO SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE DASCH (DIREC OF CRED & PR)
(504) 638-0303
Entity
Organization

Contact information

Practice address
1325 HOVER ST STE 102, LONGMONT, CO 80501-3137
(303) 651-7771
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
02/26/2024
Last updated
02/26/2024
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