Organization
LONGMONT MODERN DENTISTRY AND ORTHODONTICS, LLP
Active
Other names
Longmont Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYMON B STANLEY DDS (OWNER)
(720) 907-8770
Entity
Organization
Contact information
Practice address
1234 S HOVER ST, 100, LONGMONT, CO 80501-7957
(720) 907-8770
(720) 891-4164
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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