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1292 Main St Unit 2 Windsor CO 80550-5965 | |
| (970) 686-7121 | |
| (970) 686-1021 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1292 Main St Unit 2, Windsor, Colorado |
| Authorized Official Name and Position | Judson Valstad (OWNER) |
| Authorized Official Contact | 9706867121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1292 Main St Unit 2 Windsor CO 80550-5965 Ph: (970) 686-7121 | 1292 Main St Unit 2 Windsor CO 80550-5965 Ph: (970) 686-7121 |
| NPI Number | 1144744541 |
|---|---|
| Provider Enumeration Date | 07/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144744541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7906 (Colorado) | 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 | |