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Organization
DC DENTAL
Active
Organization
DC DENTAL
Active
Other names
Fruita Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANE C CHRISTENSEN DDS (OWNER)
(509) 793-3560
Entity
Organization
Contact information
Practice address
576 KOKOPELLI BLVD UNIT B, FRUITA, CO 81521-6306
(509) 793-3560
Mailing address
650 COPPER CANYON DR, GRAND JUNCTION, CO 81505-2001
(509) 793-3560
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN.00203064
CO
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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