# COMMUNITY DENTAL CLINIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The PIC Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235664707
- **Authorized official:** MELANIE HALL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (970) 252-8896

## Contact information

- **Practice address:** 87 MERCHANT DR, MONTROSE, CO 81401-3015
- **Practice address phone:** (970) 252-8896
- **Mailing address:** PO BOX 52, MONTROSE, CO 81402-0052
- **Mailing address phone:** (970) 252-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2017
- **Last updated:** 07/14/2017
