| Riverwalk Periodontics Llc | |
|
280 Main St Quartz C-106 Edwards CO 81632-8501 | |
| (970) 766-6000 | |
| Not Available |
| Full Name | Riverwalk Periodontics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 280 Main St, Edwards, Colorado |
| Authorized Official Name and Position | James E Beard (MEMBER) |
| Authorized Official Contact | 7733833878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverwalk Periodontics Llc 280 Main St Quartz C-106 Edwards CO 81632-8501 Ph: (970) 766-6000 | Riverwalk Periodontics Llc 280 Main St Quartz C-106 Edwards CO 81632-8501 Ph: (970) 766-6000 |
| NPI Number | 1497174155 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497174155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN.00202129 (Colorado) | Primary |
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