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Organization
DENTAL SLEEP THERAPY OF FORT COLLINS LLC
Active
Organization
DENTAL SLEEP THERAPY OF FORT COLLINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCOTT WUERKER D,D.S. (OWNER)
(970) 407-8080
Entity
Organization
Contact information
Practice address
140 BOARDWALK DR UNIT G, FORT COLLINS, CO 80525-3153
(970) 407-8080
(970) 221-3590
Mailing address
140 BOARDWALK DR UNIT G, FORT COLLINS, CO 80525-3153
(970) 407-8080
(970) 221-3590
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6693
CO
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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