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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