| Brian L Secrist Dds Pc | |
|
11401 Washington St Northglenn CO 80233-1912 | |
| (303) 254-4444 | |
| (303) 254-6552 |
| Full Name | Brian L Secrist Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 11401 Washington St, Northglenn, Colorado |
| Authorized Official Name and Position | Brian L Secrist (DENTIST/OWNER) |
| Authorized Official Contact | 3032544444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian L Secrist Dds Pc 11401 Washington St Northglenn CO 80233-1912 Ph: (303) 254-4444 | Brian L Secrist Dds Pc 11401 Washington St Northglenn CO 80233-1912 Ph: (303) 254-4444 |
| NPI Number | 1720475635 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720475635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 105294 (Colorado) | Primary |
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