Organization
COMPREHENSIVE AESTHETIC DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MICHAEL ROBY D.D.S. (PRESIDENT/OWNER)
(303) 641-0954
Entity
Organization
Contact information
Practice address
1055 17TH AVE, SUITE 104, LONGMONT, CO 80501-2680
(303) 776-1335
(303) 776-7516
Mailing address
1055 17TH AVE, SUITE 104, LONGMONT, CO 80501-2680
(303) 776-1335
(303) 776-7516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104163
CO
Other
Enumeration date
07/16/2013
Last updated
10/20/2014
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