Mountain Dental Anesthesia LLC
NPI #1922642743 in Broomfield, Colorado
Provider Information
- NPI Number
- 1922642743
- Entity Type
- Organization
- Organization Name
- Mountain Dental Anesthesia LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MOUNTAIN DENTAL LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 5, 2019
- Last Updated
- Nov 5, 2019
Practice Location
- Address
- 11001 W 120TH AVE STE 400
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80021-3493
- Phone
- (317) 459-0738
Authorized Official
- Name
- JOHN RUSSELL YANCEY, DDS
- Title
- DENTIST ANESTHESIOLOGIST
- Phone
- (317) 459-0738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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