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317 W 3rd St La Junta CO 81050-1401 | |
| (719) 733-3303 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 317 W 3rd St, La Junta, Colorado |
| Authorized Official Name and Position | Michael R Herrera (BUSINESS MANAGER) |
| Authorized Official Contact | 7196969009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2041 Pepper Ln Pueblo CO 81005-3276 Ph: (719) 696-9009 | 317 W 3rd St La Junta CO 81050-1401 Ph: (719) 733-3303 |
| NPI Number | 1902432479 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902432479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
David N. Trujillo, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St, Suite 101, La Junta, CO 81050 Phone: 719-384-8703 Fax: 719-384-2398 | |
Yah Ortho Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St Ste 103, La Junta, CO 81050 Phone: 719-564-6467 | |
Kidz & Family Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Santa Fe Ave, La Junta, CO 81050 Phone: 719-821-1240 | |
Josh Brothers Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St Ste 101, La Junta, CO 81050 Phone: 719-384-8703 Fax: 719-384-2398 | |