Organization
ORAL & FACIAL SURGERY OF LOVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH RICARDO REYNOLDS DMD, MD (ORAL AND FACIAL SURGEON)
(970) 663-6878
Entity
Organization
Contact information
Practice address
3520 E 15TH ST STE 102, LOVELAND, CO 80538-8938
(970) 663-6878
Mailing address
3520 E 15TH ST STE 102, LOVELAND, CO 80538-8938
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7908
CO
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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