| Dr Garry Vangenderen, DDS | |
|
17 W 4th St, La Junta, CO 81050-3636 | |
| (719) 383-2083 | |
| Not Available |
| Full Name | Dr Garry Vangenderen |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 17 W 4th St, La Junta, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871982140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN.00202413 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | DDS108583 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garry Vangenderen, DDS 330 The Village Drive, Apt 112, Redondo Beach, CA 90277 Ph: (201) 214-3838 | Dr Garry Vangenderen, DDS 17 W 4th St, La Junta, CO 81050-3636 Ph: (719) 383-2083 |
Ryan Taylor Anderson, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 13 East 4th Street, La Junta, CO 81050 Phone: 719-384-9442 Fax: 719-384-9446 | |
Dr. Rosa Linda Lacy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13 E 4th St, La Junta, CO 81050 Phone: 719-384-9442 Fax: 719-384-8880 | |
Dr. David Nathaniel Trujillo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St, Suite 101, La Junta, CO 81050 Phone: 719-384-8703 Fax: 719-384-2398 |