Lift Dental Pllc

NPI #1871253906 in Longmont, Colorado

Provider Information

NPI Number
1871253906
Entity Type
Organization
Organization Name
Lift Dental Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 30, 2021
Last Updated
Dec 30, 2021

Practice Location

Address
920 S HOVER ST
ZIP Code
80501-7900
Phone
(303) 485-8888

Authorized Official

Name
DR. TREY JACKSON THYGERSON, DDS
Title
DENTIST
Phone
(303) 485-8888

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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