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Organization

ANDREW R. MORTENSEN, D.M.D., P.C.

Active
Other names
Aesthetic Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW R MORTENSEN D.M.D. (OWNER/PRESIDENT)
(970) 484-7310
Entity
Organization

Contact information

Practice address
1040 E ELIZABETH ST, SUITE 201, FORT COLLINS, CO 80524-3951
(970) 484-7310
(970) 484-7711
Mailing address
1040 E ELIZABETH ST, SUITE 201, FORT COLLINS, CO 80524-3951
(970) 484-7310
(970) 484-7711

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
7476
CO
1223D0001X
Public Health Dentistry
Primary
9400
CO

Other

Enumeration date
12/11/2014
Last updated
12/11/2014
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