Organization
CENTERRRA ORTHODONTICS
Active
Organization
CENTERRRA ORTHODONTICS
Active
Other names
Skyview Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY EUGENE GOINGS DDS (VICE-PRESIDENT)
(720) 234-5566
Entity
Organization
Contact information
Practice address
2855 35TH AVE UNIT A, GREELEY, CO 80634-9474
(970) 330-5363
Mailing address
1509 PURPLE SAGE CT, FORT COLLINS, CO 80526-3043
(720) 234-5566
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8834
CO
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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