Aspen Dental Group
Dentist in Longmont, CO. Organization (NPI-2).
NPI number1477094563
StatusActive
Last updated in NPPESMar 9, 2017
Details
- NPI
- 1477094563
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspen Dental Group
- Organization subpart
- No
- Enumeration date
- Mar 9, 2017
- Last updated
- Mar 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 7130 | CO | Yes |
Other names
- Trail Ridge Dental (Doing Business As)
Practice location
1720 Duchess DrLongmont, CO 80501-2032
Phone 303-772-6960 · Fax 303-772-7215
Mailing address
1720 Duchess DrLongmont, CO 80501-2032
Phone 303-772-6960 · Fax 303-772-7215
Authorized official
Michelle Visger
Office Manager
3037726960
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