Organization
GEISELHOFER LIMITED
Active
Parent organization
GEISELHOFER LIMITED
Other names
Dental At Your Door
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEISELHOFER LIMITED
Authorized official
JENNIFER LYNN GEISELHOFER R.D.H (OWNER)
(708) 650-6229
Entity
Organization
Contact information
Practice address
609 W 130TH AVE, WESTMINSTER, CO 80234-2812
(708) 650-6229
Mailing address
2205 W 136TH AVE STE 106, BROOMFIELD, CO 80023-9306
(708) 650-6229
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3915511
—
CO
Enumeration date
11/23/2020
Last updated
11/23/2020
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