Organization
EXPERIENCE DENTAL 2 PLLC
Active
Other names
Smile Colorado Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ALTDORFER (CEO DENTIST)
(740) 706-0765
Entity
Organization
Contact information
Practice address
9101 PEARL ST STE 217, THORNTON, CO 80229-4353
(303) 576-9016
Mailing address
9101 PEARL ST STE 217, THORNTON, CO 80229-4353
(303) 576-9016
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/08/2021
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