Front Range Dental Center, Pllc
NPI #1386053270 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1386053270
- Entity Type
- Organization
- Organization Name
- Front Range Dental Center, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 5, 2014
- Last Updated
- Aug 5, 2014
Practice Location
- Address
- 2720 COUNCIL TREE AVE
- Address 2
- SUITE 260
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-6306
- Phone
- (970) 673-7321
Authorized Official
- Name
- KURT RADTKE
- Title
- OFFICE MANAGER
- Phone
- (970) 673-7321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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