| Fun At The Dentist Professional Llc | |
|
2525 N 8th St Suite 105 Grand Junction CO 81501-8845 | |
| (970) 255-1111 | |
| (970) 241-5555 |
| Full Name | Fun At The Dentist Professional Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2525 N 8th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Glen R Dean (PRESIDENT) |
| Authorized Official Contact | 9702551111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fun At The Dentist Professional Llc 2525 N 8th St Suite 105 Grand Junction CO 81501-8845 Ph: (970) 255-1111 | Fun At The Dentist Professional Llc 2525 N 8th St Suite 105 Grand Junction CO 81501-8845 Ph: (970) 255-1111 |
| NPI Number | 1467718155 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467718155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 104423 (Colorado) | Primary |
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