Individual
DR. LEITH RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
202 BRISTLECONE DR, FORT COLLINS, CO 80524-2031
(970) 416-5331
Mailing address
12804 E 30TH AVE, AURORA, CO 80011-2737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202909
CO
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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