Organization · Type 2 NPI

Mod LLC

Dental Clinic/Center · Fort Collins, CO

NPI number 1346679321 Active

Practice location

2121 Midpoint Dr, Suite 102
Fort Collins, CO 80525-4339

Call (970) 484-5437 Map

Fax (970) 484-5436

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1346679321

Mod LLC's National Provider Identifier is 1346679321, issued on Nov 11, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Collins, CO. The record was last updated on Dec 1, 2016.