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Individual

DR. DANIELLE ELIZABETH DELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S., M.S.

Contact information

Practice address
2798 EXMOOR LN, FORT COLLINS, CO 80525-3187
(248) 761-4674
Mailing address
2798 EXMOOR LANE, FORT COLLINS, CO 80525
(248) 761-4674

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901020478
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00202498
CO

Other

Enumeration date
04/04/2012
Last updated
09/10/2015
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