Northern Colorado Endodontics

NPI #1407205461 in Longmont, Colorado

Provider Information

NPI Number
1407205461
Entity Type
Organization
Organization Name
Northern Colorado Endodontics
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHERN COLORADO ENDODONTICS
Primary Specialty
Dentist - Endodontics
Enumeration Date
Jun 9, 2016
Last Updated
Jun 9, 2016

Practice Location

Address
630 15TH AVE
Address 2
SUITE 301
ZIP Code
80501-2700
Phone
(720) 494-9363

Authorized Official

Name
BRADLEY LEVALLEY, D.D.S., M.S.
Title
PRESIDENT
Phone
(970) 229-1404

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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