Individual
DR. ANDREW R MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1040 E ELIZABETH ST STE 201, FORT COLLINS, CO 80524-3951
(970) 484-7310
(970) 484-7711
Mailing address
2753 KIT FOX RD, FORT COLLINS, CO 80526-5262
(970) 449-2389
(970) 484-7711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9400
CO
1223G0001X
General Practice Dentistry
DD2610
NM
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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