Perfect Teeth - Longmont P.c.

NPI #1558482018 in Longmont, Colorado

Provider Information

NPI Number: 1558482018
Entity Type: Organization
Organization Name: Perfect Teeth - Longmont P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 641 KEN PRATT BLVD
City: Longmont
State: Colorado
ZIP Code: 80501-6419
Phone: (303) 651-2700

Authorized Official

Name: LAURIE SUMMERS
Title: CREDENTIALING
Phone: (303) 285-6098

Specialties & Taxonomy Codes

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

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