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Green Mountain Llc
Dental Clinic/Center in Idaho Springs, Colorado
NPI 1851778641

Green Mountain Llc is a Dental Clinic/Center based in Idaho Springs, CO and is specialized in Dental. Green Mountain Llc practices in Idaho Springs, CO. The NPI Number for Green Mountain Llc is 1851778641 and holds a License No. 00202483 (Colorado).

The current practice location address for Green Mountain Llc is 1625 Miner Street, Idaho Springs, CO and can be reached out via phone at 716-472-5745.

Location: 1625 Miner Street, Idaho Springs, CO, 80452-0277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851778641
Provider Name
Green Mountain Llc
Credential
Provider Entity Type
Organization
Address
1625 Miner Street, Idaho Springs, CO, 80452-0277
Phone Number
716-472-5745
Fax Number
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1625 Miner Street
City
Idaho Springs
State
Colorado
Zip
80452
Phone Number
716-472-5745
Fax Number
person
Provider Business Mailing Address Details
Address
1625 Miner Street
City
Idaho Springs
State
Colorado
Zip
80452
Phone Number
716-472-5745
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
00202483 (Colorado)
Definition
Definition to come...
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