Basalt Dentistry, Pc | |
227 Midland Ave Ste C3 Basalt CO 81621-8119 | |
(970) 927-5437 | |
Not Available |
Full Name | Basalt Dentistry, Pc |
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Speciality | Clinic/center - Dental |
Location | 227 Midland Ave Ste C3, Basalt, Colorado |
Authorized Official Name and Position | Jonathan James Haerter (DENTIST/OWNER) |
Authorized Official Contact | 9703764769 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Basalt Dentistry, Pc 227 Midland Ave Ste C3 Basalt CO 81621-8119 Ph: (970) 927-5437 | Basalt Dentistry, Pc 227 Midland Ave Ste C3 Basalt CO 81621-8119 Ph: (970) 927-5437 |
NPI Number | 1023589181 |
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Provider Enumeration Date | 12/16/2018 |
Last Update Date | 04/29/2019 |
Identifier | Type | State | Issuer |
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1023589181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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