Vail Valley LLC

NPI #1992133052 in Avon, Colorado

Provider Information

NPI Number: 1992133052
Entity Type: Organization
Organization Name: Vail Valley LLC
Primary Specialty: Dentist
Enumeration Date: Oct 28, 2013
Last Updated: Oct 28, 2013

Practice Location

Address: 0101 FAWCETT RD
Address 2: UNIT 170
City: Avon
State: Colorado
ZIP Code: 81620
Phone: (303) 350-0003

Authorized Official

Name: DR. DAVID LINDMAN, DDS
Title: OWNER/PARTNER
Phone: (303) 350-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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