Individual
BENJAMIN ROSS MERENBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 MAIN ST UNIT O-203, EDWARDS, CO 81632-7812
(970) 766-7676
Mailing address
275 MAIN ST UNIT O-203, EDWARDS, CO 81632-7812
(970) 766-7676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00205978
CO
Other
Enumeration date
10/02/2023
Last updated
04/25/2025
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