Firestone Dental Partners Prof LLC

NPI #1356767230 in Firestone, Colorado

Provider Information

NPI Number: 1356767230
Entity Type: Organization
Organization Name: Firestone Dental Partners Prof LLC
Primary Specialty: Dentist
Enumeration Date: Mar 15, 2014
Last Updated: Mar 15, 2014

Practice Location

Address: 4415 CITY CENTRE DR
Address 2: SUITE 400
City: Firestone
State: Colorado
ZIP Code: 80504-6603
Phone: (303) 651-6347

Authorized Official

Name: DR. JAROM LAVERN JOHN, DDS
Title: PARTNER
Phone: (303) 651-6347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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