| Alan Reisman, Dds, Pc | |
|
1075 S Boulder Rd Ste 135 Louisville CO 80027-2559 | |
| (303) 665-2377 | |
| (303) 665-1301 |
| Full Name | Alan Reisman, Dds, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1075 S Boulder Rd Ste 135, Louisville, Colorado |
| Authorized Official Name and Position | Alan Jon Reisman (OWNER) |
| Authorized Official Contact | 3036652377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Reisman, Dds, Pc 1075 S Boulder Rd Ste 135 Louisville CO 80027-2559 Ph: (303) 665-2377 | Alan Reisman, Dds, Pc 1075 S Boulder Rd Ste 135 Louisville CO 80027-2559 Ph: (303) 665-2377 |
| NPI Number | 1922361062 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 06/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922361062 | NPI | - | NPPES |
| 94237743 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7346 (Colorado) | Primary |
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