| The Lions Tooth, Llc | |
|
630 Main Street Unit B Frederick CO 80530 | |
| (303) 833-5500 | |
| Not Available |
| Full Name | The Lions Tooth, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 630 Main Street, Frederick, Colorado |
| Authorized Official Name and Position | Richard A Shulze (OWNER/DENTIST) |
| Authorized Official Contact | 3038335500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lions Tooth, Llc 2146 Redfield Cir Longmont CO 80501-9810 Ph: (303) 833-5500 | The Lions Tooth, Llc 630 Main Street Unit B Frederick CO 80530 Ph: (303) 833-5500 |
| NPI Number | 1952549636 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952549636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9053 (Colorado) | Primary |
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