Fox Creek Family Dental Broomfield LLC
NPI #1679372478 in Broomfield, Colorado
Provider Information
- NPI Number
- 1679372478
- Entity Type
- Organization
- Organization Name
- Fox Creek Family Dental Broomfield LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ESPIRE DENTAL HOLDINGS, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 12, 2025
- Last Updated
- Mar 12, 2025
Practice Location
- Address
- 2055 W 136TH AVE STE 136
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80023-9308
- Phone
- (303) 586-6846
Authorized Official
- Name
- KRYSTEN GARDUNO
- Title
- DIRECTOR OF REVENUE CYCLE MANAGEMEN
- Phone
- (307) 331-8371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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