Individual
DR. WILLIAM KENT OBERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1220 OAK PARK DR, FORT COLLINS, CO 80525-7302
(970) 223-8687
Mailing address
5332 PARADISE LN, FORT COLLINS, CO 80526-4323
(970) 227-7990
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
105200
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02052009
—
CO
Enumeration date
01/25/2007
Last updated
07/08/2007
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