Broomfield Premier Dentistry, Pc | |
899 Hwy 287 Ste 600 Broomfield CO 80020-7319 | |
(303) 460-9366 | |
Not Available |
Full Name | Broomfield Premier Dentistry, Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 899 Hwy 287 Ste 600, Broomfield, Colorado |
Authorized Official Name and Position | Dominic S Italia (PRESIDENT) |
Authorized Official Contact | 3034609366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broomfield Premier Dentistry, Pc 899 Hwy 287 Ste 600 Broomfield CO 80020-7319 Ph: (303) 460-9366 | Broomfield Premier Dentistry, Pc 899 Hwy 287 Ste 600 Broomfield CO 80020-7319 Ph: (303) 460-9366 |
NPI Number | 1316707359 |
---|---|
Provider Enumeration Date | 03/19/2024 |
Last Update Date | 03/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316707359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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