Organization
CENTERRA ORTHODONTICS
Active
Other names
Skyview Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY EUGENE GOINGS DDS (VICE PRESIDENT)
(970) 330-5363
Entity
Organization
Contact information
Practice address
1825 56TH AVE STE A, GREELEY, CO 80634-3028
(970) 330-5363
Mailing address
1825 56TH AVE STE A, GREELEY, CO 80634-3028
(970) 330-5363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8834
CO
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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