Heron Lakes Dentistry Pllc

NPI #1538947528 in Berthoud, Colorado

Provider Information

NPI Number: 1538947528
Entity Type: Organization
Organization Name: Heron Lakes Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 20, 2023
Last Updated: Sep 20, 2023

Practice Location

Address: 1335 GRAND MARKET AVENUE
Address 2: SUITE 120
City: Berthoud
State: Colorado
ZIP Code: 80513
Phone: (970) 841-1255

Authorized Official

Name: JOHN MEARS, D.D.S.
Title: OWNER
Phone: (608) 769-2979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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