AUSTIN JEFFREY DEPORTER

GREELEY, CO
NPI1366879728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CO  00202761)
Additional Taxonomies122300000X Dentist
(Licence: IL  019029653)
Enumeration Date2013-10-01
Last Update Date2016-09-02
Business Address
Dr. AUSTIN JEFFREY DEPORTER D.M.D
1600 23RD AVE SUITE 200
GREELEY, CO 80634-6071
Phone number: 970-353-4329
Mailing Address
Dr. AUSTIN JEFFREY DEPORTER D.M.D
1600 23RD AVE SUITE 200
GREELEY, CO 80634-6071
Phone number: 970-353-4329