Organization
GREELEY ORTHODONTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOSEPH KLOBERDANZ DDS/MS (PRESIDENT)
(970) 330-2500
Entity
Organization
Contact information
Practice address
2021 CLUBHOUSE DR, SUITE 110, GREELEY, CO 80634-3667
(970) 330-2500
Mailing address
2021 CLUBHOUSE DR, SUITE 110, GREELEY, CO 80634-3667
(970) 330-2500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
594
CO
Other
Enumeration date
07/19/2005
Last updated
08/22/2020
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