Provider Demographics
NPI:1417160581
Name:MILNOR, LAURA DANIELLE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:DANIELLE
Last Name:MILNOR
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 S SHIELDS ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-4524
Mailing Address - Country:US
Mailing Address - Phone:970-484-3214
Mailing Address - Fax:970-484-4007
Practice Address - Street 1:1103 S SHIELDS ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-4524
Practice Address - Country:US
Practice Address - Phone:970-484-3214
Practice Address - Fax:970-484-4007
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics