Organization
MOUNTAIN SMILES - ASPEN DENTAL, PLLC
Active
Other names
ASPEN DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
3300 E 1ST AVE STE 300, DENVER, CO 80206-5806
(303) 399-0400
Mailing address
3300 E 1ST AVE STE 300, DENVER, CO 80206-5806
(303) 399-0400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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