Modern Dental Associates | |
27 Main St Suite 104e Edwards CO 81632-8109 | |
(970) 926-4321 | |
Not Available |
Full Name | Modern Dental Associates |
---|---|
Speciality | Dentist |
Location | 27 Main St, Edwards, Colorado |
Authorized Official Name and Position | Paula S Barclay (OWNER) |
Authorized Official Contact | 9709264321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modern Dental Associates 27 Main St Suite 104e Edwards CO 81632-8109 Ph: (970) 926-4321 | Modern Dental Associates 27 Main St Suite 104e Edwards CO 81632-8109 Ph: (970) 926-4321 |
NPI Number | 1194013342 |
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Provider Enumeration Date | 07/20/2011 |
Last Update Date | 07/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194013342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7777 (Colorado) | Primary |
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