Ws Boulder Rd Dental Pc

NPI 1043612062 - Dentist - 122300000X

NPI Details
NPI 1043612062
Enumeration Date 09/22/2014
Last Updated 09/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DANIEL G DANIEL
Position OWNER
Phone (970) 522-5454
Fax (970) 522-5454
Practice Location
625 HOLLY DR
STERLING CO, 80751-4539, US
Phone (970) 522-5454
Fax (970) 522-5454
Business Location
625 HOLLY DR
STERLING CO, 80751-4539, US
Phone (970) 522-5454
Fax (970) 522-5454
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number 7990
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According to our database, Ws Boulder Rd Dental Pc NPI is 1043612062, taxonomy code is 122300000X and license number is 7990, license state is located at Colorado. Ws Boulder Rd Dental Pc physically located at 625 Holly Dr, Sterling CO, 80751-4539. NPI Number 1033115704 has the healthcare provider type.

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1043612062 NPI number is provided on an as is basis without warranty of any kind. 1043612062 is maintained by the National Plan & Provider Enumeration System. The contents of Ws Boulder Rd Dental Pc are for informational purposes only.