Organization
GARY ANDREOLETTI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ANDREOLETTI DDS (PRESIDENT)
(970) 858-4544
Entity
Organization
Contact information
Practice address
576 KOKOPELLI BLVD, STE. B, FRUITA, CO 81521-6304
(970) 858-4544
(970) 858-9187
Mailing address
576 KOKOPELLI BLVD, STE. B, FRUITA, CO 81521-6304
(970) 858-4544
(970) 858-9187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104419
CO
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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