| Fox Creek Family Dental Broomfield Llc | |
|
2055 W 136th Ave Ste 136 Broomfield CO 80023-9308 | |
| (303) 586-6846 | |
| Not Available |
| Full Name | Fox Creek Family Dental Broomfield Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2055 W 136th Ave Ste 136, Broomfield, Colorado |
| Authorized Official Name and Position | Krysten Garduno (DIRECTOR OF REVENUE CYCLE MANAGEMEN) |
| Authorized Official Contact | 3073318371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Creek Family Dental Broomfield Llc 7995 E Prentice Ave Ste 211 Greenwood Village CO 80111-2713 Ph: (307) 331-8371 | Fox Creek Family Dental Broomfield Llc 2055 W 136th Ave Ste 136 Broomfield CO 80023-9308 Ph: (303) 586-6846 |
| NPI Number | 1679372478 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679372478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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