Phase 3 LLC

NPI #1164920377 in Golden, Colorado

Provider Information

NPI Number
1164920377
Entity Type
Organization
Organization Name
Phase 3 LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 23, 2018
Last Updated
Jan 23, 2018

Practice Location

Address
940 MC INTYRE ST APT B
City
Golden
ZIP Code
80401-3914
Phone
(570) 690-1718

Authorized Official

Name
DR. BRIAN GOERINGER, DMD
Title
DENTIST/ OWNER
Phone
(570) 690-1718

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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