Organization
DRAKE DENTAL CARE PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT WUERKER D,D,S, (OWNER)
(970) 407-8080
Entity
Organization
Contact information
Practice address
140 BOARDWALK DR, UNIT G, FORT COLLINS, CO 80525-3153
(970) 407-8080
(970) 221-3590
Mailing address
140 BOARDWALK DR, UNIT G, FORT COLLINS, CO 80525-3153
(970) 407-8080
(970) 221-3590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6693
CO
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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