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 |