| NPI | 1962877795 |
|---|---|
| Doing Business As | LONGMONT MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SYMON B STANLEY Owner 720-907-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |