| Westernslope Dental Center, P.c. | |
|
514 28 Rd Grand Junction CO 81501-6555 | |
| (970) 241-3483 | |
| (970) 241-8163 |
| Full Name | Westernslope Dental Center, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 514 28 Rd, Grand Junction, Colorado |
| Authorized Official Name and Position | Brandon S Berguin (PRESIDENT) |
| Authorized Official Contact | 9702413483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westernslope Dental Center, P.c. 514 28 Rd Grand Junction CO 81501-6555 Ph: (970) 241-3483 | Westernslope Dental Center, P.c. 514 28 Rd Grand Junction CO 81501-6555 Ph: (970) 241-3483 |
| NPI Number | 1538690573 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538690573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CO105656 (Colorado) | Primary |
| 1223G0001X | Dentist - General Practice | CO201868 (Colorado) | Secondary |
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