Organization
BIGHORN FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY J GALYARDT DDS (PARTNER)
(970) 226-5400
Entity
Organization
Contact information
Practice address
2105 BIGHORN ROAD, SUITE 200, FORT COLLINS, CO 80525
(970) 226-5400
Mailing address
2105 BIGHORN ROAD, SUITE 200, FORT COLLINS, CO 80525
(970) 226-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7635
CO
1223G0001X
General Practice Dentistry
Primary
7988
CO
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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