| NPI | 1700921368 |
|---|---|
| Doing Business As | DENTAL HEALTH OF LONGMONT, PLLC |
| Entity Type | Organization |
| Authorized Contact | LYNN WILSON Manager 303-678-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 579) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-07-09 |