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Organization

ROCKY MOUNTAIN DENTAL SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN LEWIS DMD (OWNER)
(270) 293-9194
Entity
Organization

Contact information

Practice address
1551 PROFESSIONAL LN UNIT 250, LONGMONT, CO 80501-6967
(270) 293-9194
Mailing address
1551 PROFESSIONAL LN UNIT 250, LONGMONT, CO 80501-6967
(270) 293-9194

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/28/2024
Last updated
06/28/2024
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