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4669 W 20th Street Rd Ste B Greeley CO 80634-8409 | |
| (970) 232-3755 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4669 W 20th Street Rd Ste B, Greeley, Colorado |
| Authorized Official Name and Position | Norea Schmollinger (MANAGER) |
| Authorized Official Contact | 9702291404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3744 S Timberline Rd Ste 101 Fort Collins CO 80525-4334 Ph: (970) 229-1404 | 4669 W 20th Street Rd Ste B Greeley CO 80634-8409 Ph: (970) 232-3755 |
| NPI Number | 1295265726 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 06/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295265726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 8973 (Colorado) | Secondary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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