Organization
NCDI OAK, PROFESSION LLP
Active
Parent organization
SVC DENTAL GROUP, PROFESSIONAL LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SVC DENTAL GROUP, PROFESSIONAL LLP
Authorized official
BLANCA CHAVEZ (OFFICE MANAGER)
(970) 223-8687
Entity
Organization
Contact information
Practice address
1220 OAK PARK DR, FORT COLLINS, CO 80525-7348
(970) 223-8687
(970) 225-1574
Mailing address
1220 OAK PARK DR, FORT COLLINS, CO 80525-7348
(970) 223-8687
(970) 225-1574
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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