Organization
NORTHERN COLORADO DENTAL SPECIALTY AND IMPLANT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON BERGLOFF (ADMIN)
(970) 825-0000
Entity
Organization
Contact information
Practice address
1221 E ELIZABETH ST STE 4, FORT COLLINS, CO 80524-4066
(970) 825-0000
Mailing address
1221 E ELIZABETH ST STE 4, FORT COLLINS, CO 80524-4066
(970) 825-0000
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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