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4421 Centerplace Dr Suite A Greeley CO 80634-3756 | |
| (970) 236-9324 | |
| (970) 315-3356 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4421 Centerplace Dr, Greeley, Colorado |
| Authorized Official Name and Position | Thaddeus R Carter (OWNER) |
| Authorized Official Contact | 9702369324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 4421 Centerplace Dr Suite A Greeley CO 80634-3756 Ph: (970) 236-9324 |
| NPI Number | 1679017560 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679017560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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