Organization
ASCENT FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R WILLIAMS D.M.D. (PRESIDENT)
(970) 351-6095
Entity
Organization
Contact information
Practice address
3535 W 12TH ST, SUITE B, GREELEY, CO 80634-2557
(970) 351-6095
(970) 351-0155
Mailing address
3535 W 12TH ST, SUITE B, GREELEY, CO 80634-2557
(970) 351-6095
(970) 351-0155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN9689
CO
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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