Brian L Secrist DDS PC

NPI #1720475635 in Northglenn, Colorado

Provider Information

NPI Number: 1720475635
Entity Type: Organization
Organization Name: Brian L Secrist DDS PC
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2015
Last Updated: Apr 17, 2015

Practice Location

Address: 11401 WASHINGTON ST
City: Northglenn
State: Colorado
ZIP Code: 80233-1912
Phone: (303) 254-4444

Authorized Official

Name: DR. BRIAN L SECRIST, DDS
Title: DENTIST/OWNER
Phone: (303) 254-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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