Radiant Dental Health
NPI #1063041374 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1063041374
- Entity Type
- Organization
- Organization Name
- Radiant Dental Health
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 7, 2020
- Last Updated
- Apr 7, 2020
Practice Location
- Address
- 313 W DRAKE RD
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80526-2846
- Phone
- (970) 422-1122
Authorized Official
- Name
- DR. NATHANIEL BOONE CALDON, DMD
- Title
- OWNER/ DENTIST
- Phone
- (970) 422-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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