My Local Colorado Dental Practice, Llc | |
1160 W Ash St Windsor CO 80550-4666 | |
(970) 686-1186 | |
Not Available |
Full Name | My Local Colorado Dental Practice, Llc |
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Speciality | Dentist - General Practice |
Location | 1160 W Ash St, Windsor, Colorado |
Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5093158338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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My Local Colorado Dental Practice, Llc 1160 W Ash St Windsor CO 80550-4666 Ph: (970) 686-1186 | My Local Colorado Dental Practice, Llc 1160 W Ash St Windsor CO 80550-4666 Ph: (970) 686-1186 |
NPI Number | 1366096893 |
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Provider Enumeration Date | 08/01/2019 |
Last Update Date | 08/01/2019 |
Identifier | Type | State | Issuer |
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1366096893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Noco Ortho Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 Main St Unit C, Windsor, CO 80550 Phone: 970-674-0717 | |