Organization
COLORADO DHCA, LONGMONT, PLLC
Active
Other names
Dental Health Of Longmont, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN WILSON (MANAGER)
(303) 678-1125
Entity
Organization
Contact information
Practice address
1260 S HOVER ST UNIT H, LONGMONT, CO 80501-7911
(303) 678-1125
(303) 364-9522
Mailing address
1260 S HOVER ST UNIT H, LONGMONT, CO 80501-7911
(303) 678-1125
(303) 364-9522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
579
CO
Other
Enumeration date
02/21/2007
Last updated
07/09/2008
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