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Shawn M Custer Dental Pllc
Dental Clinic/Center in Fort Collins, Colorado
NPI 1255083473

Shawn M Custer Dental Pllc is a Dental Clinic/Center based in Fort Collins, CO and is specialized in Dental. Shawn M Custer Dental Pllc practices in Fort Collins, CO. The NPI Number for Shawn M Custer Dental Pllc is 1255083473 and holds a License No. (Colorado).

The current practice location address for Shawn M Custer Dental Pllc is 3950 John F Kennedy Pkwy Unit E, Fort Collins, CO and can be reached out via phone at 970-732-4371.

Location: 3950 John F Kennedy Pkwy Unit E, Fort Collins, CO, 80525-3074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255083473
Provider Name
Shawn M Custer Dental Pllc
Credential
Provider Entity Type
Organization
Address
3950 John F Kennedy Pkwy Unit E, Fort Collins, CO, 80525-3074
Phone Number
970-732-4371
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9000154967 05 CO
institution
Provider Business Practice Location Address Details
Address
3950 John F Kennedy Pkwy Unit E
City
Fort Collins
State
Colorado
Zip
80525-3074
Phone Number
970-732-4371
Fax Number
person
Provider Business Mailing Address Details
Address
3950 John F Kennedy Pkwy Unit E
City
Fort Collins
State
Colorado
Zip
80525-3074
Phone Number
970-732-4371
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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