Organization
BRENKERT CRANIOFACIAL PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS RICHARD BRENKERT (MEMBER)
(970) 482-4980
Entity
Organization
Contact information
Practice address
2001 S SHIELDS ST, BLDG A #100, FORT COLLINS, CO 80526-1827
(970) 484-0250
(970) 482-4980
Mailing address
721 DARTMOUTH TRL, FORT COLLINS, CO 80525-1522
(970) 482-4980
(970) 482-4980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
332
CO
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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