Organization · Type 2 NPI

A Country Dentist, PLLC

Dental Clinic/Center · Fort Morgan, CO

NPI number 1669977427 Active

Practice location

107 W 9th Ave
Fort Morgan, CO 80701-2011

Fax (970) 867-3795

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X106313 (CO)

Dental Clinic/Center: Definition to come...

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About NPI 1669977427

A Country Dentist, PLLC's National Provider Identifier is 1669977427, issued on Mar 26, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Morgan, CO. The record was last updated on Mar 26, 2018.