Fort Lupton Dental Group P.c.
NPI #1215194543 in Fort Lupton, Colorado
Provider Information
- NPI Number
- 1215194543
- Entity Type
- Organization
- Organization Name
- Fort Lupton Dental Group P.c.
- Primary Specialty
- Dentist
- Enumeration Date
- May 22, 2008
- Last Updated
- May 22, 2008
Practice Location
- Address
- 229 DENVER AVE
- City
- Fort Lupton
- State
- Colorado
- ZIP Code
- 80621-1819
- Phone
- (303) 857-4377
Authorized Official
- Name
- DR. IRENE MARGARET HOLLOMA, D.D.S.
- Title
- OWNER DENTIST
- Phone
- (303) 857-4377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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