Retro Dental Group Broomfield

NPI #1376939884 in Broomfield, Colorado

Provider Information

NPI Number: 1376939884
Entity Type: Organization
Organization Name: Retro Dental Group Broomfield
Subpart: Yes (part of a larger organization)
Parent Organization: RETRO DENTAL GROUP
Primary Specialty: Dentist
Enumeration Date: Apr 10, 2015
Last Updated: Apr 10, 2015

Practice Location

Address: 5105 120TH AVE
City: Broomfield
State: Colorado
ZIP Code: 80020
Phone: (818) 681-7700

Authorized Official

Name: DR. DARREN KESSLER, DDS
Title: DENTIST OWNER
Phone: (818) 681-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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