Organization
CHEYENNE MOUNTAIN MODERN DENTISTRY, LLP
Active
Other names
Cheyenne Mountain Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M PFEIFER DDS (OWNER)
(719) 800-0399
Entity
Organization
Contact information
Practice address
4451 VENETUCCI BLVD, SUITE 160, FOUNTAIN, CO 80906
(719) 800-0399
(719) 359-4158
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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