Organization
PEDIATRIC DENTISTRY OF LOVELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS R. GERKEN D.D.S. (CEO)
(970) 669-7711
Entity
Organization
Contact information
Practice address
2800 MADISON SQUARE DR STE 1, LOVELAND, CO 80538-3358
(970) 669-7711
(970) 669-2491
Mailing address
2800 MADISON SQUARE DR STE 1, LOVELAND, CO 80538-3358
(970) 669-7711
(970) 669-2491
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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