Organization
ALAN REISMAN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JON REISMAN DDS (OWNER)
(303) 665-2377
Entity
Organization
Contact information
Practice address
1075 S BOULDER RD STE 135, LOUISVILLE, CO 80027-2559
(303) 665-2377
(303) 665-1301
Mailing address
1075 S BOULDER RD STE 135, LOUISVILLE, CO 80027-2559
(303) 665-2377
(303) 665-1301
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7346
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94237743
—
CO
Enumeration date
06/22/2012
Last updated
06/22/2012
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