Full Name | |
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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 |
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Po Box 1089 Niwot CO 80544-1089 Ph: (303) 915-7722 | 376 2nd Avenue Niwot CO 80544 Ph: (303) 915-7722 |
NPI Number | 1437559820 |
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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 |