Northern Colorado Endodontics PC
NPI #1184638736 in Ft Collins, Colorado
Provider Information
- NPI Number
- 1184638736
- Entity Type
- Organization
- Organization Name
- Northern Colorado Endodontics PC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Aug 8, 2007
Practice Location
- Address
- 730 WHALERS WAY
- Address 2
- SUITE 300
- City
- Ft Collins
- State
- Colorado
- ZIP Code
- 80525
- Phone
- (970) 229-1404
Authorized Official
- Name
- BRADLEY DAVID LEVALLEY, DDS MS
- Title
- PRESIDENT
- Phone
- (970) 229-1404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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