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Organization

ALPINE WEST FORT COLLINS LLC

Active
Parent organization
ALPINE DENTAL HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALPINE DENTAL HEALTH
Authorized official
MICHAEL MCDILL (MEMEBER)
(970) 484-5297
Entity
Organization

Contact information

Practice address
1015 S TAFT HILL RD, FORT COLLINS, CO 80521-4240
(970) 482-6034
Mailing address
718 S COLLEGE AVE, FORT COLLINS, CO 80524-3301

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8319
CO

Other

Enumeration date
12/03/2015
Last updated
12/03/2015
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