KEITH ALLEN VAN TASSELL

FORT COLLINS, CO
NPI1366585408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CO  9197)
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
Dr. KEITH ALLEN VAN TASSELL D.D.S.
2001 S SHIELDS ST BLDG A SUITE 2
FORT COLLINS, CO 80526-1827
Phone number: 970-484-4104
Mailing Address
Dr. KEITH ALLEN VAN TASSELL D.D.S.
2001 S SHIELDS ST BLDG A SUITE 2
FORT COLLINS, CO 80526-1827
Phone number: 970-484-4104
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