| Stephen M Vicalvi Dds | |
|
1100 E Main St Ste D Montrose CO 81401-4064 | |
| (970) 240-2720 | |
| (970) 240-2724 |
| Full Name | Stephen M Vicalvi Dds |
|---|---|
| Speciality | Dentist |
| Location | 1100 E Main St, Montrose, Colorado |
| Authorized Official Name and Position | Stephen M Jvicalvi (OWNER) |
| Authorized Official Contact | 9709019822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Vicalvi Dds 1100 E Main St Ste D Montrose CO 81401-4064 Ph: (970) 240-2720 | Stephen M Vicalvi Dds 1100 E Main St Ste D Montrose CO 81401-4064 Ph: (970) 240-2720 |
| NPI Number | 1811364284 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811364284 | NPI | - | NPPES |
| 99756340 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00007603 (Colorado) | Primary |
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