Organization
ADVANCED PROSTHODONTICS
Active
Other names
Front Range Dentures and Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
RON BERGLOFF (MANAGER)
(720) 431-6060
Entity
Organization
Contact information
Practice address
1006 ROBERTSON ST STE 210, FORT COLLINS, CO 80524-3920
(970) 493-9001
Mailing address
1006 ROBERTSON ST STE 210, FORT COLLINS, CO 80524-3920
(970) 493-9001
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D202404
CO
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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