Mineral County Dental Clinic | |
802 Rio Grande Ave Creede CO 81130 | |
(719) 658-0322 | |
(719) 658-0322 |
Full Name | Mineral County Dental Clinic |
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Speciality | Clinic/center - Dental |
Location | 802 Rio Grande Ave, Creede, Colorado |
Authorized Official Name and Position | Scott Lamb (COUNTY COMMISSIONER) |
Authorized Official Contact | 7196582331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mineral County Dental Clinic P.o. Box 57 802 Rio Grande Ave Creede CO 81130 Ph: (719) 658-0322 | Mineral County Dental Clinic 802 Rio Grande Ave Creede CO 81130 Ph: (719) 658-0322 |
NPI Number | 1881003002 |
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Provider Enumeration Date | 08/13/2014 |
Last Update Date | 08/13/2014 |
Identifier | Type | State | Issuer |
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1881003002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Creede Dental Works Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 Rio Grande Ave, Creede, CO 81130 Phone: 719-658-0322 |