Organization
BREATHE DENTAL, LLC
Active
Other names
Table Mountain Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG M CARDON DMD (OWNER/PRESIDENT)
(720) 822-9059
Entity
Organization
Contact information
Practice address
6410 MILLER ST # 15, ARVADA, CO 80004-2833
(720) 822-9059
Mailing address
14333 W 48TH PL, GOLDEN, CO 80403-1797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202212
CO
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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