Organization
TIMBERLINE ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRONSEN SCHLIEP DDS, MS (OWNER)
(402) 314-5132
Entity
Organization
Contact information
Practice address
1424 E HORSETOOTH RD STE 1, FORT COLLINS, CO 80525-5726
(970) 223-8080
Mailing address
112 E 35TH ST, SCOTTSBLUFF, NE 69361-4694
(402) 314-5132
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
203592
CO
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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