Organization
PERFECT TEETH / CENTERRA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE K. ARBUCKLE (CREDENTIALING SPECIALIST)
(303) 285-6098
Entity
Organization
Contact information
Practice address
1685 ROCKY MOUNTAIN AVE, STE 400, LOVELAND, CO 80538-8705
(970) 667-2121
(970) 667-2323
Mailing address
1685 ROCKY MOUNTAIN AVE, STE 400, LOVELAND, CO 80538-8705
(970) 667-2121
(970) 667-2323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10541
CO
Other
Enumeration date
05/17/2013
Last updated
05/17/2016
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