Individual
LEON COLBY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
140 BOARDWALK DR, #G, FORT COLLINS, CO 80525-3047
(970) 407-8080
(970) 221-3590
Mailing address
140 BOARDWALK DR, #G, FORT COLLINS, CO 80525-3047
(970) 407-8080
(970) 221-3590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8186
CO
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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