Experience Dental Pllc
NPI #1013568963 in Boulder, Colorado
Provider Information
- NPI Number
- 1013568963
- Entity Type
- Organization
- Organization Name
- Experience Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 23, 2019
- Last Updated
- Jan 7, 2021
Practice Location
Authorized Official
- Name
- JEREMY RICHARD ALTDORFER, DDS
- Title
- CEO
- Phone
- (740) 706-0765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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