| David Meisner Lone Wolf Llc Single Mbr | |
|
376 2nd Avenue Niwot CO 80544 | |
| (303) 915-7722 | |
| (303) 652-0464 |
| Full Name | David Meisner Lone Wolf Llc Single Mbr |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 376 2nd Avenue, Niwot, Colorado |
| Authorized Official Name and Position | David F Meisner (OWNER) |
| Authorized Official Contact | 3039157722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Meisner Lone Wolf Llc Single Mbr Po Box 1089 Niwot CO 80544-1089 Ph: (303) 915-7722 | David Meisner Lone Wolf Llc Single Mbr 376 2nd Avenue Niwot CO 80544 Ph: (303) 915-7722 |
| NPI Number | 1437559820 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437559820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 104024 (Colorado) | Primary |