Organization
FOX CREEK FAMILY DENTAL BROOMFIELD LLC
Active
Parent organization
ESPIRE DENTAL HOLDINGS, LLC
Other names
Espire Dental Broomfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESPIRE DENTAL HOLDINGS, LLC
Authorized official
KRYSTEN GARDUNO (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(307) 331-8371
Entity
Organization
Contact information
Practice address
2055 W 136TH AVE STE 136, BROOMFIELD, CO 80023-9308
(303) 586-6846
Mailing address
7995 E PRENTICE AVE STE 211, GREENWOOD VILLAGE, CO 80111-2713
(307) 331-8371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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