| NPI | 1255083473 |
|---|---|
| Doing Business As | PARK VIEW FAMILY DENTAL FT. COLLINS |
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHAEL CUSTER Owner 402-721-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |