Individual
EMILY GRACE RIESGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2001 S SHIELDS ST STE L, FORT COLLINS, CO 80526-1839
(970) 221-5115
Mailing address
2001 S SHIELDS ST STE L, FORT COLLINS, CO 80526-1839
(651) 399-3744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00204802
CO
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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