Organization
GB DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD EUGENE BOBIER D.D.S (PRESIDENT)
(970) 339-9770
Entity
Organization
Contact information
Practice address
1910 56TH AVE, GREELEY, CO 80634-2945
(970) 339-9770
(970) 339-9748
Mailing address
1910 56TH AVE, GREELEY, CO 80634-2945
(970) 339-9770
(970) 339-9748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
775
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700802527
NPI
—
Enumeration date
11/15/2010
Last updated
11/15/2010
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