Organization
DENTAL SLEEP THERAPY OF FORT COLLINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCOTT WUERKER D,D.S. (OWNER)
(970) 407-8080
Entity
Organization
Contact information
Practice address
140 BOARDWALK DR UNIT G, FORT COLLINS, CO 80525-3153
(970) 407-8080
(970) 221-3590
Mailing address
140 BOARDWALK DR UNIT G, FORT COLLINS, CO 80525-3153
(970) 407-8080
(970) 221-3590
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6693
CO
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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