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Organization

EVERGREEN FAMILY DENTISTRY PC

Active
Other names
S Corporation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TROY ALLEN FOX DDS (DENTIST)
(303) 674-3591
Entity
Organization

Contact information

Practice address
3720 EVERGREEN PARKWAY, EVERGREEN, CO 80439
(303) 674-3591
(303) 674-9650
Mailing address
PO BOX 3958, EVERGREEN, CO 80437
(303) 674-3591
(303) 674-9650

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CO6701
CO

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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