Organization
THE LIONS TOOTH, LLC
Active
Other names
Carbon Valley Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A SHULZE D.M.D (OWNER/DENTIST)
(303) 833-5500
Entity
Organization
Contact information
Practice address
630 MAIN STREET, UNIT B, FREDERICK, CO 80530
(303) 833-5500
Mailing address
2146 REDFIELD CIR, LONGMONT, CO 80501-9810
(303) 833-5500
(866) 514-8749
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9053
CO
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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