Greeley Dental, Professional LLC

NPI #1255740577 in Greeley, Colorado

Provider Information

NPI Number: 1255740577
Entity Type: Organization
Organization Name: Greeley Dental, Professional LLC
Primary Specialty: Dentist
Enumeration Date: Aug 12, 2014
Last Updated: Aug 12, 2014

Practice Location

Address: 3766 W 10TH ST
Address 2: STE A
City: Greeley
State: Colorado
ZIP Code: 80634-1823
Phone: (970) 304-1273

Authorized Official

Name: DR. ANDREY KONDRATENKO, DDS
Title: DENTIST
Phone: (970) 304-1273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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