Little Britches Pediatric Dentistry, Pc

NPI 1225109713 - Dentist - 1223P0221X

NPI Details
NPI 1225109713
Enumeration Date 11/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD BRUCE RICHARD
Position PRESIDENT
Phone (303) 651-3733
Fax (303) 485-5380
Practice Location
2030 TERRY ST
SUITE B
LONGMONT CO, 80501-1894, US
Phone (303) 651-3733
Fax (303) 485-5380
Business Location
2030 TERRY ST STE B
SUITE B
LONGMONT CO, 80501-1889, US
Phone (303) 651-3733
Fax (303) 485-5380
Toxanomy
Taxonomy Code 1223P0221X
License State Colorado
License Number 6509
Remove 1225109713 NPI Number
 

According to our database, Little Britches Pediatric Dentistry, Pc NPI is 1225109713, taxonomy code is 1223P0221X and license number is 6509, license state is located at Colorado. Little Britches Pediatric Dentistry, Pc physically located at 2030 Terry St, Longmont CO, 80501-1894. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1225109713 NPI number is provided on an as is basis without warranty of any kind. 1225109713 is maintained by the National Plan & Provider Enumeration System. The contents of Little Britches Pediatric Dentistry, Pc are for informational purposes only.