Organization
NCDI LOVELAND PROFESSIONAL, LLP
Active
Other names
ToothZone, Awesome Smilers
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA RICHARDSON (OFFICE MANAGER)
(970) 669-1122
Entity
Organization
Contact information
Practice address
2700 MADISON SQUARE DR, LOVELAND, CO 80538-3385
(970) 669-1122
(970) 669-1984
Mailing address
272 E 29TH ST STE 274, LOVELAND, CO 80538-2733
(970) 669-1122
(970) 669-1984
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6177
CO
Other
Enumeration date
09/15/2015
Last updated
08/05/2021
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