Organization
ON SITE DENTAL SURGERY
Active
Other names
David Meisner Lone Wolf LLC Single MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F MEISNER D.D.S. (OWNER)
(303) 915-7722
Entity
Organization
Contact information
Practice address
376 2ND AVENUE, NIWOT, CO 80544
(303) 915-7722
(303) 652-0464
Mailing address
PO BOX 1089, NIWOT, CO 80544-1089
(303) 915-7722
(303) 652-0464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104024
CO
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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