Retro Dental Broomfield Dbd, LLC
NPI #1205312469 in Broomfield, Colorado
Provider Information
- NPI Number
- 1205312469
- Entity Type
- Organization
- Organization Name
- Retro Dental Broomfield Dbd, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 11, 2018
- Last Updated
- Jul 11, 2018
Practice Location
- Address
- 5015 W 120TH AVE
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-5606
- Phone
- (303) 466-2935
Authorized Official
- Name
- JAMIN HOUSER, DDS
- Title
- CHIEF DENTAL OFFICER
- Phone
- (719) 332-4949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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