Organization
PERFECT TEETH - SOUTH FORT COLLINS P.C.
Active
Other names
Perfect Teeth - South Fort Collins P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
30328560987
Entity
Organization
Contact information
Practice address
1355 RIVERSIDE AVE, UNIT D, FORT COLLINS, CO 80524-4368
(970) 493-0999
(970) 493-2188
Mailing address
1355 RIVERSIDE AVE, UNIT D, FORT COLLINS, CO 80524-4368
(970) 493-0999
(970) 493-2188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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