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Organization

PERFECT TEETH - LONGMONT P.C.

Active
Other names
Perfect Teeth - Longmont P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization

Contact information

Practice address
641 KEN PRATT BLVD, LONGMONT, CO 80501-6419
(303) 651-2700
(303) 651-2580
Mailing address
641 KEN PRATT BLVD, LONGMONT, CO 80501-6419
(303) 651-2700
(303) 651-2580

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO

Other

Enumeration date
04/03/2007
Last updated
08/22/2020
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