| R. P. Hanawalt, Dds | |
|
1029 Robertson St Fort Collins CO 80524-3926 | |
| (970) 493-4434 | |
| Not Available |
| Full Name | R. P. Hanawalt, Dds |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1029 Robertson St, Fort Collins, Colorado |
| Authorized Official Name and Position | Ronald P. Hanawalt (PRESIDENT) |
| Authorized Official Contact | 9704934434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. P. Hanawalt, Dds 1029 Robertson St Fort Collins CO 80524-3926 Ph: () - | R. P. Hanawalt, Dds 1029 Robertson St Fort Collins CO 80524-3926 Ph: (970) 493-4434 |
| NPI Number | 1194819359 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194819359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 203 (Colorado) | Primary |
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