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

Address
3125 28TH ST
ZIP Code
80301-1315
Phone
(720) 996-0559

Authorized Official

Name
DR. JEREMY ALTDORFER, DDS
Title
CEO EXTRORDINAIRE
Phone
(740) 706-0765

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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