Organization
GREELEY PROSTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN LEWIS (OWNER)
(303) 834-5723
Entity
Organization
Contact information
Practice address
2726 W 11TH STREET RD, GREELEY, CO 80634-5408
(303) 834-5723
Mailing address
2726 W 11TH STREET RD, GREELEY, CO 80634-5408
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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