| Mountain Dental | |
|
300 Nickel St Ste 11 Broomfield CO 80020-2097 | |
| (303) 635-1816 | |
| Not Available |
| Full Name | Mountain Dental |
|---|---|
| Speciality | Dentist |
| Location | 300 Nickel St Ste 11, Broomfield, Colorado |
| Authorized Official Name and Position | Lori Pelke (PROFESSIONAL SERVICES) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Dental 300 Nickel St Ste 11 Broomfield CO 80020-2097 Ph: (303) 635-1816 | Mountain Dental 300 Nickel St Ste 11 Broomfield CO 80020-2097 Ph: (303) 635-1816 |
| NPI Number | 1922244193 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 12/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922244193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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