is a Orthodontics And Dentofacial Orthopedics in Fort Collins, Colorado. practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for is 1255481552. The last update date is .
's current location address is 4733 S Timberline Rd Ste 101, Fort Collins, Colorado. You can contact this provider via phone number 7202345566 and fax number 3036908003. The mailing address for is 4733 S Timberline Rd Ste 101, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4733 S Timberline Rd Ste 101, Fort Collins, Colorado |
| Phone Number | 7202345566 |
| Fax Number | 3036908003 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1255481552 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4733 S Timberline Rd Ste 101 |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805283023 |
| Phone Number | 7202345566 |
| Fax Number | 3036908003 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 8834 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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