Colorado Dhca Greeley, Pllc

NPI #1467597021 in Greeley, Colorado

Provider Information

NPI Number: 1467597021
Entity Type: Organization
Organization Name: Colorado Dhca Greeley, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 21, 2007
Last Updated: Jul 9, 2008

Practice Location

Address: 1600 23RD AVE STE 200
City: Greeley
State: Colorado
ZIP Code: 80634-6071
Phone: (970) 353-4329

Authorized Official

Name: WENDY JANTZ
Title: MANAGER
Phone: (970) 353-4329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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