Organization
FORT COLLINS MODERN DENTISTRY, LLP
Active
Other names
Fort Collins Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F RODGERS DDS (OWNER)
(970) 482-4455
Entity
Organization
Contact information
Practice address
2203 SOUTH COLLEGE AVENUE, SUITE 100, FORT COLLINS, CO 80525
(970) 482-4455
(970) 482-1804
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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