Experience Dental Hygiene Practice 1 LLC
NPI #1992484844 in Boulder, Colorado
Provider Information
- NPI Number
- 1992484844
- Entity Type
- Organization
- Organization Name
- Experience Dental Hygiene Practice 1 LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 17, 2023
- Last Updated
- Jul 17, 2023
Practice Location
Authorized Official
- Name
- DR. JEREMY ALTDORFER, DDS
- Title
- CEO EXTRORDINAIRE
- Phone
- (740) 706-0765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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