| State Of Colorado Department Of Human Services | |
|
2800 Riverside Pkwy Grand Junction CO 81501-4721 | |
| (970) 255-5711 | |
| (970) 255-5714 |
| Full Name | State Of Colorado Department Of Human Services |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2800 Riverside Pkwy, Grand Junction, Colorado |
| Authorized Official Name and Position | Robert Christian Mueller (AGENCY DIRECTOR) |
| Authorized Official Contact | 9702555711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Colorado Department Of Human Services 2800 Riverside Pkwy Grand Junction CO 81501-4721 Ph: (970) 255-5711 | State Of Colorado Department Of Human Services 2800 Riverside Pkwy Grand Junction CO 81501-4721 Ph: (970) 255-5711 |
| NPI Number | 1871976928 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871976928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8513 (Colorado) | Primary |
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