Aspen Dental Group LLC

NPI #1265552541 in Longmont, Colorado

Provider Information

NPI Number: 1265552541
Entity Type: Organization
Organization Name: Aspen Dental Group LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 30, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1720 DUCHESS DRIVE
City: Longmont
State: Colorado
ZIP Code: 80501-2032
Phone: (303) 772-6960

Authorized Official

Name: DR. SEAN L VISGER, D.D.S.
Title: DENTIST
Phone: (303) 772-6960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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