Individual
JAMIE L FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
934 S LEMAY AVE, FORT COLLINS, CO 80524-3207
(970) 498-8300
Mailing address
934 S LEMAY AVE, FORT COLLINS, CO 80524-3207
(970) 498-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.022539
OH
122300000X
Dentist
Primary
9821
CO
Other
Enumeration date
06/28/2007
Last updated
07/30/2009
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