Longmont Modern Dentistry and Orthodontics, LLP

NPI #1962877795 in Longmont, Colorado

Provider Information

NPI Number: 1962877795
Entity Type: Organization
Organization Name: Longmont Modern Dentistry and Orthodontics, LLP
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 4, 2015
Last Updated: Dec 4, 2015

Practice Location

Address: 1234 S HOVER ST
Address 2: 100
City: Longmont
State: Colorado
ZIP Code: 80501-7957
Phone: (720) 907-8770

Authorized Official

Name: DR. SYMON B STANLEY, DDS
Title: OWNER
Phone: (720) 907-8770

Specialties & Taxonomy Codes

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

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