| Dr. Siona Motufau Jr. Dds Co | |
|
425 North Ave Ste A Grand Junction CO 81501-7576 | |
| (970) 615-7500 | |
| Not Available |
| Full Name | Dr. Siona Motufau Jr. Dds Co |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 425 North Ave Ste A, Grand Junction, Colorado |
| Authorized Official Name and Position | Siona Motufau (DENTIST) |
| Authorized Official Contact | 9707121463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Siona Motufau Jr. Dds Co 425 North Ave Ste A Grand Junction CO 81501-7576 Ph: (970) 615-7500 | Dr. Siona Motufau Jr. Dds Co 425 North Ave Ste A Grand Junction CO 81501-7576 Ph: (970) 615-7500 |
| NPI Number | 1144078684 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144078684 | NPI | - | NPPES |
| 202301 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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