Organization
MAIN STREET DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LANGENFELD DDS (DENTIST)
(303) 627-5460
Entity
Organization
Contact information
Practice address
6240 S MAIN ST STE 295, AURORA, CO 80016-5100
(303) 627-5460
Mailing address
6240 S MAIN ST STE 295, AURORA, CO 80016-5100
(303) 627-5460
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
104888
CO
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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