| Broomfield Premier Dentistry, Pc | |
|
899 Hwy 287 Ste 600 Broomfield CO 80020-7319 | |
| (303) 460-9366 | |
| Not Available |
| Full Name | Broomfield Premier Dentistry, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 899 Hwy 287 Ste 600, Broomfield, Colorado |
| Authorized Official Name and Position | Dominic S Italia (PRESIDENT) |
| Authorized Official Contact | 3034609366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broomfield Premier Dentistry, Pc 899 Hwy 287 Ste 600 Broomfield CO 80020-7319 Ph: (303) 460-9366 | Broomfield Premier Dentistry, Pc 899 Hwy 287 Ste 600 Broomfield CO 80020-7319 Ph: (303) 460-9366 |
| NPI Number | 1316707359 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316707359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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