Clear Creek Dental

NPI #1093126237 in Fort Collins, Colorado

Provider Information

NPI Number: 1093126237
Entity Type: Organization
Organization Name: Clear Creek Dental
Primary Specialty: Dentist
Enumeration Date: May 9, 2014
Last Updated: May 9, 2014

Practice Location

Address: 373 W DRAKE RD STE 2
City: Fort Collins
State: Colorado
ZIP Code: 80526-2881
Phone: (970) 223-1166

Authorized Official

Name: ALEX KNECHT
Title: OWNER
Phone: (970) 223-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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