Organization
TRAVIS WILLEY, DDS PC
Active
Other names
Family & Cosmetic Dentistry of the Rockies
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA VENEKAMP (OFFICE MANAGER)
(970) 223-6101
Entity
Organization
Contact information
Practice address
4745 BOARDWALK DR STE D102, FORT COLLINS, CO 80525-3773
(970) 223-6101
(970) 530-1593
Mailing address
4745 BOARDWALK DR STE D102, FORT COLLINS, CO 80525-3773
(970) 223-6101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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