Condar,inc

NPI 1013105436 - Clinic/Center - 261QD0000X

NPI Details
NPI 1013105436
Enumeration Date 10/10/2007
Last Updated 10/10/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THOMAS THOMAS
Position DENTIST
Phone (970) 842-0220
Fax (970) 842-0224
Practice Location
412 EDISON ST
BRUSH CO, 80723-2130, US
Phone (970) 842-0220
Fax (970) 842-0224
Business Location
PO BOX 563
BRUSH CO, 80723-0563, US
Phone (970) 842-0220
Fax (970) 842-0224
Toxanomy
Taxonomy Code 261QD0000X
License State Colorado
License Number 104803
Remove 1013105436 NPI Number
 

According to our database, Condar,inc NPI is 1013105436, taxonomy code is 261QD0000X and license number is 104803, license state is located at Colorado. Condar,inc physically located at 412 Edison St, Brush CO, 80723-2130. NPI Number 1033115704 has the healthcare provider type.

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1013105436 NPI number is provided on an as is basis without warranty of any kind. 1013105436 is maintained by the National Plan & Provider Enumeration System. The contents of Condar,inc are for informational purposes only.