Fox Creek Family Dental Longmont

NPI #1053830737 in Longmont, Colorado

Provider Information

NPI Number
1053830737
Entity Type
Organization
Organization Name
Fox Creek Family Dental Longmont
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 14, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
1610 PACE ST UNIT 100
ZIP Code
80504-2239
Phone
(303) 772-9966

Authorized Official

Name
RYAN KOENIG
Title
OWNER
Phone
(303) 772-9966

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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