Dorsey Dental Care, Inc. | |
491 Forest Edge Rd Woodland Park CO 80863-2499 | |
(719) 687-6366 | |
Not Available |
Full Name | Dorsey Dental Care, Inc. |
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Speciality | Dentist - General Practice |
Location | 491 Forest Edge Rd, Woodland Park, Colorado |
Authorized Official Name and Position | Terry Dorsey Balthazor (PRESIDENT) |
Authorized Official Contact | 7196876366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dorsey Dental Care, Inc. 491 Forest Edge Rd Woodland Park CO 80863-2499 Ph: (719) 687-6366 | Dorsey Dental Care, Inc. 491 Forest Edge Rd Woodland Park CO 80863-2499 Ph: (719) 687-6366 |
NPI Number | 1730371485 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 08/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730371485 | NPI | - | NPPES |
1457453151 | Other | CO | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5456 (Colorado) | Primary |
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