Organization
EXPERIENCE DENTAL HYGIENE PRACTICE 1 LLC
Active
Other names
Experience Dental Hygiene
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ALTDORFER DDS (CEO EXTRORDINAIRE)
(740) 706-0765
Entity
Organization
Contact information
Practice address
3125 28TH ST, BOULDER, CO 80301-1315
(720) 996-0559
(720) 740-6760
Mailing address
3125 28TH ST, BOULDER, CO 80301-1315
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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