Breckenridge Family Dental Pllc
NPI #1386790855 in Breckenridge, Colorado
Provider Information
- NPI Number
- 1386790855
- Entity Type
- Organization
- Organization Name
- Breckenridge Family Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Feb 19, 2009
Practice Location
- Address
- 400 N PARK AVE
- Address 2
- SUITE 12
- City
- Breckenridge
- State
- Colorado
- ZIP Code
- 80424
- Phone
- (970) 453-4585
Authorized Official
- Name
- GREGORY M JUNGMAN, DDS
- Title
- OWNER DENTIST
- Phone
- (970) 453-4585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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