| Phase 3 Dental | |
|
940 Mc Intyre St Apt B Golden CO 80401-3914 | |
| (570) 690-1718 | |
| Not Available |
| Full Name | Phase 3 Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 940 Mc Intyre St Apt B, Golden, Colorado |
| Authorized Official Name and Position | Brian Goeringer (DENTIST/ OWNER) |
| Authorized Official Contact | 5706901718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phase 3 Dental 940 Mc Intyre St Apt B Golden CO 80401-3914 Ph: (570) 690-1718 | Phase 3 Dental 940 Mc Intyre St Apt B Golden CO 80401-3914 Ph: (570) 690-1718 |
| NPI Number | 1164920377 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164920377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN.00202673 (Colorado) | Primary |
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