Individual
DR. KENDELL THERON BUXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1331 E PROSPECT RD UNIT B2, FORT COLLINS, CO 80525-1367
(970) 482-6333
Mailing address
106 UNDERWOOD CT, FORT COLLINS, CO 80525-4290
(505) 609-9544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202193
CO
122300000X
Dentist
30-023673
OH
122300000X
Dentist
NMDD3013
NM
Other
Enumeration date
07/24/2008
Last updated
06/08/2014
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