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1807 S Townsend Ave Montrose CO 81401-5448 | |
| (970) 255-1222 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1807 S Townsend Ave, Montrose, Colorado |
| Authorized Official Name and Position | Tyson Black (OWNER/PARTNER) |
| Authorized Official Contact | 9702551222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1807 S Townsend Ave Montrose CO 81401-5448 Ph: (970) 255-1222 | 1807 S Townsend Ave Montrose CO 81401-5448 Ph: (970) 255-1222 |
| NPI Number | 1427508266 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427508266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Colorado) | Primary |
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