Retro Dental Broomfield Dbd, Llc | |
5015 W 120th Ave Broomfield CO 80020-5606 | |
(303) 466-2935 | |
Not Available |
Full Name | Retro Dental Broomfield Dbd, Llc |
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Speciality | Dentist - General Practice |
Location | 5015 W 120th Ave, Broomfield, Colorado |
Authorized Official Name and Position | Jamin Houser (CHIEF DENTAL OFFICER) |
Authorized Official Contact | 7193324949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Retro Dental Broomfield Dbd, Llc 5015 W 120th Ave Broomfield CO 80020-5606 Ph: (303) 466-2935 | Retro Dental Broomfield Dbd, Llc 5015 W 120th Ave Broomfield CO 80020-5606 Ph: (303) 466-2935 |
NPI Number | 1205312469 |
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Provider Enumeration Date | 07/11/2018 |
Last Update Date | 07/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205312469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Hani Michael Marogil Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 E 1st Ave, 202, Broomfield, CO 80020 Phone: 303-466-4646 Fax: 303-404-8804 | |
Tequila Sunrise Broomfield Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 W 120th Ave, Broomfield, CO 80020 Phone: 303-466-2935 | |
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