Individual
DR. NATHAN MICHAEL BORTOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1950 REDTAIL HAWK DR, ESTES PARK, CO 80517-9780
(033) 697-2583
(970) 577-3464
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00202588
CO
122300000X
Dentist
Primary
DEN.00202588
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00882208
—
CO
Enumeration date
07/21/2015
Last updated
04/07/2021
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