Mountain Ridge Dentistry
NPI #1720759228 in Berthoud, Colorado
Provider Information
- NPI Number
- 1720759228
- Entity Type
- Organization
- Organization Name
- Mountain Ridge Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 23, 2021
- Last Updated
- Sep 23, 2021
Practice Location
Authorized Official
- Name
- DR. AUSTIN DEPORTER, DMD
- Title
- DENTIST, OWNER
- Phone
- (970) 528-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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