Organization
FAMILY DENTAL AND SPECIALISTS OF GREELEY
Active
Other names
Associates in Family Dentistry and Specialists of Greely
Organization subpart
No
Provider details
NPI number
Authorized official
RON BERGLOFF (OWNER)
(720) 431-6060
Entity
Organization
Contact information
Practice address
3400 W 16TH ST UNIT E, GREELEY, CO 80634-6862
(970) 673-7900
Mailing address
952 CHIMNEY ROCK RD, HIGHLANDS RANCH, CO 80126-2552
(720) 431-6060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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