# DC DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fruita Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215468368
- **Authorized official:** DR. DANE C CHRISTENSEN DDS (OWNER)
- **Authorized official phone:** (509) 793-3560

## Contact information

- **Practice address:** 576 KOKOPELLI BLVD UNIT B, FRUITA, CO 81521-6306
- **Practice address phone:** (509) 793-3560
- **Mailing address:** 650 COPPER CANYON DR, GRAND JUNCTION, CO 81505-2001
- **Mailing address phone:** (509) 793-3560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DEN.00203064 | CO | Yes |

## Other

- **Enumeration date:** 03/21/2017
- **Last updated:** 03/21/2017