DR. Austin Jeffrey Deporter, D.M.D

NPI #1366879728 in Greeley, Colorado

Provider Information

NPI Number
1366879728
Entity Type
Individual
Name
DR. Austin Jeffrey Deporter, D.M.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D
Enumeration Date
Oct 1, 2013
Last Updated
Sep 2, 2016

Practice Location

Address
1600 23RD AVE
Address 2
SUITE 200
ZIP Code
80634-6071
Phone
(970) 353-4329

Specialties & Taxonomy Codes

Specialty
Dentist

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