Organization Name: | BNS LLC |
NPI Number: | 1649426495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY BRANDON JOHNSON (OWNER) |
Mailing Address: | 7520 Bierstadt Hts Suite 125 Peyton |
State: | CO US |
Postal Code: | 808316174 |
Phone Number: | 7194953131 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2008 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 9312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |