Provider Demographics
NPI:1598038820
Name:CATHERINE VIEREGGER DDS PC
Entity Type:Organization
Organization Name:CATHERINE VIEREGGER DDS PC
Other - Org Name:VIBRANCE COMPREHENSIVE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:VIEREGGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-770-1116
Mailing Address - Street 1:2980 N BEVERLY GLEN CIR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1726
Mailing Address - Country:US
Mailing Address - Phone:310-474-9809
Mailing Address - Fax:
Practice Address - Street 1:7400 E CRESTLINE CIR
Practice Address - Street 2:SUITE 230
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3652
Practice Address - Country:US
Practice Address - Phone:303-770-1116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHERINE VIEREGGER DDS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site