Organization
LONGMONT RESTORATIVE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA MENINDEZ (REGIONAL OPERATIONS DIRECTOR)
(303) 659-1825
Entity
Organization
Contact information
Practice address
1325 HOVER ST STE 101A, LONGMONT, CO 80501-3137
(303) 325-6043
Mailing address
1325 HOVER ST STE 101A, LONGMONT, CO 80501-3137
(303) 325-6043
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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