Alpine West Fort Collins LLC

NPI #1255706115 in Fort Collins, Colorado

Provider Information

NPI Number
1255706115
Entity Type
Organization
Organization Name
Alpine West Fort Collins LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ALPINE DENTAL HEALTH
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 3, 2015
Last Updated
Dec 3, 2015

Practice Location

Address
1015 S TAFT HILL RD
ZIP Code
80521-4240
Phone
(970) 482-6034

Authorized Official

Name
MICHAEL MCDILL
Title
MEMEBER
Phone
(970) 484-5297

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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