Organization
ASPEN DENTAL GROUP
Active
Other names
Trail Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE VISGER (OFFICE MANAGER)
(303) 772-6960
Entity
Organization
Contact information
Practice address
1720 DUCHESS DR, LONGMONT, CO 80501-2032
(303) 772-6960
(303) 772-7215
Mailing address
1720 DUCHESS DR, LONGMONT, CO 80501-2032
(303) 772-6960
(303) 772-7215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7130
CO
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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