Individual
GORDAN W WELLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
702 W DRAKE RD, BLDG G SUITE 107, FT COLLINS, CO 80526
(970) 493-9299
(970) 530-2488
Mailing address
702 W DRAKE RD, BLDG G SUITE 107, FT COLLINS, CO 80526
(970) 493-9299
(970) 530-2488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104511
CO
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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