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1234 S Hover St 100 Longmont CO 80501-7957 | |
| (720) 907-8770 | |
| (720) 891-4164 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1234 S Hover St, Longmont, Colorado |
| Authorized Official Name and Position | Symon B Stanley (OWNER) |
| Authorized Official Contact | 7209078770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 1234 S Hover St 100 Longmont CO 80501-7957 Ph: (720) 907-8770 |
| NPI Number | 1962877795 |
|---|---|
| Provider Enumeration Date | 12/04/2015 |
| Last Update Date | 12/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962877795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Milot Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2055 Ken Pratt Blvd, Unit B, Longmont, CO 80501 Phone: 503-719-3700 | |
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Michael J Kellogg Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 Mountain View Ave, Longmont, CO 80501 Phone: 303-772-3313 | |
Mountain Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Main St, Longmont, CO 80501 Phone: 903-776-3030 | |
Ryan Lewis, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Hover St Ste 103, Longmont, CO 80501 Phone: 270-293-9194 |