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1720759228
MOUNTAIN RIDGE DENTISTRY
BERTHOUD, CO
NPI
1720759228
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Entity Type
Organization
Authorized Contact
AUSTIN DEPORTER
Dentist, Owner
970-528-0900
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
MOUNTAIN RIDGE DENTISTRY
310 MOUNTAIN AVE
BERTHOUD, CO 80513-5004
Phone number: 970-528-0900
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Mailing Address
MOUNTAIN RIDGE DENTISTRY
310 MOUNTAIN AVE PO BOX 1694 PO BOX 1694
BERTHOUD, CO 80513
Phone number: 970-528-0900
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