Fountain Dental Center, Pc

NPI 1760552491 - Dentist - 1223G0001X

NPI Details
NPI 1760552491
Enumeration Date 11/09/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GLENN ANTHONY GLENN
Position DENTIST
Phone (719) 382-5500
Fax (719) 382-0944
Practice Location
320 S SANTA FE AVE
FOUNTAIN CO, 80817-1963, US
Phone (719) 382-5500
Fax (719) 382-0944
Business Location
320 S SANTA FE AVE
FOUNTAIN CO, 80817-1963, US
Phone (719) 382-5500
Fax (719) 382-0944
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 7581
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According to our database, Fountain Dental Center, Pc NPI is 1760552491, taxonomy code is 1223G0001X and license number is 7581, license state is located at Colorado. Fountain Dental Center, Pc physically located at 320 S Santa Fe Ave, Fountain CO, 80817-1963. NPI Number 1033115704 has the healthcare provider type.

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1760552491 NPI number is provided on an as is basis without warranty of any kind. 1760552491 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain Dental Center, Pc are for informational purposes only.