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NPI Code Detail

MEDICARE: RYAN L ULIBARRI DDS, PC

MEDICARE: RYAN L ULIBARRI DDS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist202189CO

General Provider Information

NPI Number : 1245615038
Entity Type Code : Organization
Provider Name (Legal Business Name) : RYAN L ULIBARRI DDS, PC
Provider Business Mailing Address
First Line : 1001 CENTRE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-6047
Country : US
Telephone Number : 970-224-5599
Fax Number :
Provider Business Practice Location Address
First Line : 1001 CENTRE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-6047
Country : US
Telephone Number : 970-224-5599
Fax Number :
Authorized Official
Title or Position : OWNER/DENTIST
Name : RYAN ULIBARRI
Credential : DDS
Telephone Number : 970-224-5599
Provider Enumeration Date : 07/22/2015
Last Update Date : 07/22/2015

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Directions to “RYAN L ULIBARRI DDS, PC ” Practice Location

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