| Dental Depot | |
|
17 W. 4th St. La Junta CO 81050 | |
| (719) 383-2083 | |
| (719) 383-2047 |
| Full Name | Dental Depot |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17 W. 4th St., La Junta, Colorado |
| Authorized Official Name and Position | Brady Sefcik (DDS/OWNER) |
| Authorized Official Contact | 8014004560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot 17 W. 4th St La Junta CO 81050 Ph: (719) 383-2083 | Dental Depot 17 W. 4th St. La Junta CO 81050 Ph: (719) 383-2083 |
| NPI Number | 1730506809 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730506809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00201897 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | 00202298 (Colorado) | Primary |
David N. Trujillo, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St, Suite 101, La Junta, CO 81050 Phone: 719-384-8703 Fax: 719-384-2398 | |
Yah Ortho Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St Ste 103, La Junta, CO 81050 Phone: 719-564-6467 | |
Kidz & Family Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Santa Fe Ave, La Junta, CO 81050 Phone: 719-821-1240 | |
La Junta Clinic Dental Clinic Medicare: Medicare Enrolled Practice Location: 1012 Belmont Avenue, La Junta, CO 81050 Phone: 719-383-5900 Fax: 719-383-6533 | |
Young At Heart Dentistry La Junta Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St, La Junta, CO 81050 Phone: 719-733-3303 | |
Ryan T Anderson Ddc Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 E 4th St., La Junta, CO 81050 Phone: 719-384-9442 |