Individual
RYAN LEVI ULIBARRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4745 E BOARDWALK DR UNIT C2, FORT COLLINS, CO 80525-3769
(970) 224-5599
(970) 224-0731
Mailing address
4745 BOARDWALK DR UNIT C2, FORT COLLINS, CO 80525-3769
(970) 224-5599
(970) 224-5599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202189
CO
122300000X
Dentist
DEN00202189
CO
Other
Enumeration date
11/09/2010
Last updated
07/12/2021
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