Organization
MILNOR ORTHODONTICS PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MILNOR DDS, MS (ORTHODONTIST)
(970) 484-3214
Entity
Organization
Contact information
Practice address
1103 S SHIELDS ST, FORT COLLINS, CO 80521-4524
(970) 484-3214
(970) 484-4007
Mailing address
1103 S SHIELDS ST, FORT COLLINS, CO 80521-4524
(970) 484-3214
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9623
COLORADO DENTAL LICENSE
CO
Enumeration date
11/18/2020
Last updated
11/18/2020
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