| Alamosa Family Dental Llc | |
|
2415 Mullins Ave Unit 5 Alamosa CO 81101-4264 | |
| (719) 991-2101 | |
| Not Available |
| Full Name | Alamosa Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2415 Mullins Ave Unit 5, Alamosa, Colorado |
| Authorized Official Name and Position | Michelle Olson (REGIONAL HUMAN RESOURCE DIRECTOR) |
| Authorized Official Contact | 7193751358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamosa Family Dental Llc 5731 Silverstone Ter Ste 270 Colorado Springs CO 80919-3545 Ph: (719) 375-1358 | Alamosa Family Dental Llc 2415 Mullins Ave Unit 5 Alamosa CO 81101-4264 Ph: (719) 991-2101 |
| NPI Number | 1386162329 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386162329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 202298 (Colorado) | Primary |
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