Leadville Dental Center LLC

NPI #1346687985 in Leadville, Colorado

Provider Information

NPI Number: 1346687985
Entity Type: Organization
Organization Name: Leadville Dental Center LLC
Primary Specialty: Dentist
Enumeration Date: May 22, 2013
Last Updated: May 22, 2013

Practice Location

Address: 733 US HIGHWAY 24
Address 2: UNIT A
City: Leadville
State: Colorado
ZIP Code: 80461-3952
Phone: (719) 486-2060

Authorized Official

Name: DR. LANCE A. SCHAMBERGER, D.D.S.
Title: OWENER
Phone: (719) 486-2060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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