Organization
CUSP DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY HERNANN DDS (OWNER)
(630) 917-0880
Entity
Organization
Contact information
Practice address
12101 E 2ND AVE STE 206, AURORA, CO 80011-8328
(303) 343-2161
Mailing address
12101 E 2ND AVE STE 206, AURORA, CO 80011-8328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00203107
CO
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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