Organization
MOUNTAINAIRE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARTINEZ (FINANCIAL COORDINATOR)
(303) 872-2400
Entity
Organization
Contact information
Practice address
291 E FLATIRON CIR UNIT D, BROOMFIELD, CO 80021-8060
(303) 872-2400
(303) 872-2401
Mailing address
291 E FLATIRON CIR UNIT D, BROOMFIELD, CO 80021-8060
(303) 872-2400
(303) 872-2401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10612
CO
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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