Brandon D Visscher Dmd Pllc

NPI #1154692051 in Lakewood, Colorado

Provider Information

NPI Number: 1154692051
Entity Type: Organization
Organization Name: Brandon D Visscher Dmd Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 24, 2012
Last Updated: Jan 7, 2020

Practice Location

Address: 1726 COLE BLVD
Address 2: SUITE 140
City: Lakewood
State: Colorado
ZIP Code: 80401-3213
Phone: (303) 279-6929

Authorized Official

Name: CAROLYN A CRISPE
Title: BUSINESS MANAGER
Phone: (303) 279-6929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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