Organization
HOVER DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY LEE KOCHEVAR DDS (DENTIST)
(303) 684-9700
Entity
Organization
Contact information
Practice address
1446 HOVER ST, SUITE 100, LONGMONT, CO 80501-2485
(303) 684-9700
(303) 684-9777
Mailing address
1446 HOVER ST, SUITE 100, LONGMONT, CO 80501-2485
(303) 684-9700
(303) 684-9777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8471
CO
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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