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Organization

LOWRY FAMILY DENTAL PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYRUS FANNING DDS (DENTIST)
(303) 364-6659
Entity
Organization

Contact information

Practice address
200 QUEBEC ST, BLDG 500, UNIT 105, DENVER, CO 80230-7144
(303) 364-6659
Mailing address
200 QUEBEC ST, BLDG 500, UNIT 105, DENVER, CO 80230-7144
(303) 364-6659

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7020
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7020
LICENSE
CO
Enumeration date
04/07/2016
Last updated
04/07/2016
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