Comprehensive Aesthetic Dental Associates LLC

NPI #1386085520 in Longmont, Colorado

Provider Information

NPI Number: 1386085520
Entity Type: Organization
Organization Name: Comprehensive Aesthetic Dental Associates LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 16, 2013
Last Updated: Oct 20, 2014

Practice Location

Address: 1055 17TH AVE
Address 2: SUITE 104
City: Longmont
State: Colorado
ZIP Code: 80501-2680
Phone: (303) 776-1335

Authorized Official

Name: DR. TODD MICHAEL ROBY, D.D.S.
Title: PRESIDENT/OWNER
Phone: (303) 641-0954

Specialties & Taxonomy Codes

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

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