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Organization

NCDI DRAKE, PROFESSIONAL LLP

Active
Parent organization
SVC DENTAL GROUP, PROFESSIONAL LLP
Organization subpart
Yes

Provider details

NPI number
Legal business name
SVC DENTAL GROUP, PROFESSIONAL LLP
Authorized official
KATIE HAMBRIGHT (OFFICE MANAGER)
(970) 223-8687
Entity
Organization

Contact information

Practice address
383 W DRAKE RD, SUITE 103, FORT COLLINS, CO 80526-2884
(970) 223-8687
(970) 207-1971
Mailing address
383 W DRAKE RD, SUITE 103, FORT COLLINS, CO 80526-2884
(970) 223-8687
(970) 207-1971

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
08/26/2016
Last updated
08/26/2016
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