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1154634707
JUSTIN KIMBALL LIDDLE
FORT COLLINS, CO
NPI
1154634707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: CO 10142)
Enumeration Date
2010-07-23
Last Update Date
2010-07-23
Business Address
Dr. JUSTIN KIMBALL LIDDLE DMD, CDT
2001 S SHIELDS ST STE B1
FORT COLLINS, CO 80526-1829
Phone number: 970-224-4358
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Mailing Address
Dr. JUSTIN KIMBALL LIDDLE DMD, CDT
2001 S SHIELDS ST STE B1
FORT COLLINS, CO 80526-1829
Phone number: 970-224-4358
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