| Central Coast Dental Inc | |
|
85 N 100 E Ste B Gunnison UT 84634-0400 | |
| (435) 528-7266 | |
| Not Available |
| Full Name | Central Coast Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 85 N 100 E, Gunnison, Utah |
| Authorized Official Name and Position | Ernest M Larson (OWNER) |
| Authorized Official Contact | 4355287266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Dental Inc 85 N 100 E Ste B Gunnison UT 84634-0400 Ph: (435) 528-7266 | Central Coast Dental Inc 85 N 100 E Ste B Gunnison UT 84634-0400 Ph: (435) 528-7266 |
| NPI Number | 1598210619 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598210619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Kelly M Frandsen Dds & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 N 100 E, Gunnison, UT 84634 Phone: 435-528-7316 Fax: 435-528-7350 |