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Organization
BENDER MEDICAL GROUP, INC
Active
Organization
BENDER MEDICAL GROUP, INC
Active
Parent organization
BENDER MEDICAL GROUP, INC
Other names
Miramont Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENDER MEDICAL GROUP, INC
Authorized official
JULIE M DESAIRE (CHIEF BUSINESS DEVELOPMENT OFFICER)
(970) 225-5107
Entity
Organization
Contact information
Practice address
313 W DRAKE RD, FORT COLLINS, CO 80526-2846
(970) 482-8881
(970) 482-9646
Mailing address
4674 SNOW MESA DR STE 140, FORT COLLINS, CO 80528-8614
(970) 225-5107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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