Organization
BENCHMARK DENTAL OF GREELEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA FOWLER D.M.D. (PRESIDENT/DENTIST)
(970) 352-5448
Entity
Organization
Contact information
Practice address
1640 25TH AVE, GREELEY, CO 80634-4959
(970) 352-5448
Mailing address
1640 25TH AVE, GREELEY, CO 80634-4959
(970) 352-5448
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10414
CO
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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