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Denver, Colorado

Provider NPI: 1013573815

Organization Information:
Organization Name:  CCDI DENVER PDC PLLC
Organization is not Subpart
Authorized Official:  SCOTT GENE FERGUSON  OWNER  303-3331844

Practice Location:
Tel: 303-333-1844  Fax: 720-370-4777

Business Mailing Address:
PO BOX 970484  OREM, UT 84097 US
Tel: 801-350-3460  Fax: 801-335-6551

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N1223E0200XDental Providers
N1223P0300XDental Providers
N1223S0112XDental Providers
Y122300000XDental Providers


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