Perfect Teeth - South Fort Collins P.c.
NPI #1700907102 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1700907102
- Entity Type
- Organization
- Organization Name
- Perfect Teeth - South Fort Collins P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1355 RIVERSIDE AVE
- Address 2
- UNIT D
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80524-4368
- Phone
- (970) 493-0999
Authorized Official
- Name
- LAURIE SUMMERS
- Title
- CREDENTIALING
- Phone
- 30328560987
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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