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1600 23rd Ave Ste 200 Greeley CO 80634-6071 | |
| (970) 353-4329 | |
| (970) 353-0526 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 23rd Ave Ste 200, Greeley, Colorado |
| Authorized Official Name and Position | Wendy Jantz (MANAGER) |
| Authorized Official Contact | 9703534329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 23rd Ave Ste 200 Greeley CO 80634-6071 Ph: (970) 353-4329 | 1600 23rd Ave Ste 200 Greeley CO 80634-6071 Ph: (970) 353-4329 |
| NPI Number | 1467597021 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467597021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 579 (Colorado) | Primary |
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