Organization
PLATTEVILLE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH ANN DORIAN DMD (OWNER)
(970) 590-6205
Entity
Organization
Contact information
Practice address
340 JUSTIN AVE, SUITE 120, PLATTEVILLE, CO 80651-7800
(970) 590-6205
Mailing address
417 BLUE LAKE TRL, LAFAYETTE, CO 80026-8893
(970) 590-6205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10088
CO
Other
Enumeration date
10/27/2012
Last updated
10/27/2012
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