Robert O'brien DDS Prof LLC

NPI #1306385661 in Longmont, Colorado

Provider Information

NPI Number: 1306385661
Entity Type: Organization
Organization Name: Robert O'brien DDS Prof LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 20, 2017
Last Updated: Feb 20, 2017

Practice Location

Address: 1446 HOVER ST
Address 2: SUITE 100
City: Longmont
State: Colorado
ZIP Code: 80501-2485
Phone: (303) 684-9700

Authorized Official

Name: LORI BOWMAN-FALCE
Title: CONSULTANT
Phone: (970) 231-1294

Specialties & Taxonomy Codes

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

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