COLORADO PLAINS ORAL & MAXILLOFACIAL SURGERY P.C.

FORT MORGAN, CO
NPI1568863223
Entity TypeOrganization
Authorized ContactDANIEL E BOEDEKER
Owner
970-867-4477
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: CO  10147)
Enumeration Date2014-09-11
Last Update Date2014-09-11
Business Address
COLORADO PLAINS ORAL & MAXILLOFACIAL SURGERY P.C.
527 W PLATTE AVE
FORT MORGAN, CO 80701-2654
Phone number: 970-768-6869
Mailing Address
COLORADO PLAINS ORAL & MAXILLOFACIAL SURGERY P.C.
527 W PLATTE AVE
FORT MORGAN, CO 80701-2654
Phone number: 970-768-6869
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