Organization
FORT COLLINS DENTAL GROUP, LLP
Active
Other names
Fort Collins Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F RODGERS DDS (OWNER DOCTOR)
(970) 282-8877
Entity
Organization
Contact information
Practice address
2310 E HARMONY RD STE 103, FORT COLLINS, CO 80528-3427
(970) 282-8877
(970) 226-1326
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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