Individual
PEGGY ANN DERLOSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
120 BRISTLECONE DR, FORT COLLINS, CO 80524-2031
(970) 224-5209
(970) 221-7165
Mailing address
120 BRISTLECONE DR, FORT COLLINS, CO 80524-2031
(970) 224-5209
(970) 221-7165
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
6629
CO
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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