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Organization
POUDRE VALLEY PERIODONTICS & DENTAL IMPLANTS
Active
Organization
POUDRE VALLEY PERIODONTICS & DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CLARK JOHNSON DDS, MS (PRESIDENT/OWNER)
(970) 447-3746
Entity
Organization
Contact information
Practice address
1029 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 447-3746
(970) 447-3747
Mailing address
1029 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 447-3746
(970) 447-3747
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/10/2026
Last updated
09/10/2026
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