Travis Willey, DDS PC

NPI #1043717382 in Fort Collins, Colorado

Provider Information

NPI Number: 1043717382
Entity Type: Organization
Organization Name: Travis Willey, DDS PC
Primary Specialty: Dentist
Enumeration Date: Apr 12, 2018
Last Updated: Apr 12, 2018

Practice Location

Address: 4745 BOARDWALK DR STE D102
City: Fort Collins
State: Colorado
ZIP Code: 80525-3773
Phone: (970) 223-6101

Authorized Official

Name: TERESA VENEKAMP
Title: OFFICE MANAGER
Phone: (970) 223-6101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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