Organization
COLORADO PLAINS ORAL & MAXILLOFACIAL SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E BOEDEKER DDS (OWNER)
(970) 867-4477
Entity
Organization
Contact information
Practice address
527 W PLATTE AVE, FORT MORGAN, CO 80701-2654
(970) 768-6869
(970) 867-4499
Mailing address
527 W PLATTE AVE, FORT MORGAN, CO 80701-2654
(970) 768-6869
(970) 867-4499
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10147
CO
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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