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Individual

DR. RICHARD WILSON LINDEBERG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1120 E ELIZABETH ST, FORT COLLINS, CO 80524-4044
(970) 221-5050
(970) 221-5054
Mailing address
1120 E ELIZABETH ST, FORT COLLINS, CO 80524-4044
(970) 221-5050
(970) 221-5054

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
617
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02006179
CO
Enumeration date
11/03/2005
Last updated
07/08/2007
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