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4619 S Mason St Ste C1 Fort Collins CO 80525-3742 | |
(970) 377-1931 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4619 S Mason St Ste C1, Fort Collins, Colorado |
Authorized Official Name and Position | Anthony Naranja (OWNER) |
Authorized Official Contact | 9703771931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4619 S Mason St Ste C1 Fort Collins CO 80525-3742 Ph: (970) 377-1931 | 4619 S Mason St Ste C1 Fort Collins CO 80525-3742 Ph: (970) 377-1931 |
NPI Number | 1598483448 |
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Provider Enumeration Date | 08/17/2022 |
Last Update Date | 08/23/2024 |
Identifier | Type | State | Issuer |
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1598483448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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