Organization · NPI-2

Appletree Dental Professional LLC

Dentist, General Practice · Thornton, CO

NPI number1811245871
StatusActive
Last updated in NPPESDec 20, 2013

Details

NPI
1811245871
Entity type
Organization (NPI-2)
Legal business name
Appletree Dental Professional LLC
Organization subpart
No
Enumeration date
Aug 23, 2012
Last updated
Dec 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

2800 E 136th Ave
Thornton, CO 80241-3417

Phone 720-872-2892 · Fax 720-872-2894

Mailing address

2800 E 136th Ave
Thornton, CO 80241-3417

Phone 720-872-2892 · Fax 720-872-2894

Authorized official

Erica Anne Derby
Owner
7208722892

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