| Raelene Fulford Dds Pllc | |
|
110 Old Laramie Trl Ste 105 Lafayette CO 80026-7010 | |
| (909) 771-7971 | |
| Not Available |
| Full Name | Raelene Fulford Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 Old Laramie Trl Ste 105, Lafayette, Colorado |
| Authorized Official Name and Position | Raelene Frances Fulford (OWNER/MANAGER) |
| Authorized Official Contact | 9097717971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raelene Fulford Dds Pllc 110 Old Laramie Trl Ste 105 Lafayette CO 80026-7010 Ph: (909) 771-7971 | Raelene Fulford Dds Pllc 110 Old Laramie Trl Ste 105 Lafayette CO 80026-7010 Ph: (909) 771-7971 |
| NPI Number | 1689146920 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 12/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689146920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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