Organization
FOUNTAIN DENTAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ANTHONY NOBLE DDS (DENTIST)
(719) 382-5500
Entity
Organization
Contact information
Practice address
320 S SANTA FE AVE, FOUNTAIN, CO 80817-1963
(719) 382-5500
(719) 382-0944
Mailing address
320 S SANTA FE AVE, FOUNTAIN, CO 80817-1963
(719) 382-5500
(719) 382-0944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7581
CO
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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