Organization
COMFORT DENTAL GREEN VALLEY RANCH
Active
Organization
COMFORT DENTAL GREEN VALLEY RANCH
Active
Other names
Comfort Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ANDREW LISTER SEVERANCE D.D.S (DENTIST)
(719) 359-1699
Entity
Organization
Contact information
Practice address
18620 GREEN VALLEY RANCH BLVD STE 103, DENVER, CO 80249-6842
(303) 371-8247
Mailing address
18437 E AMHERST DR, AURORA, CO 80013-6151
(719) 359-1699
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
CO
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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