# COLORADO MOUNTAIN COLLEGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colorado Mountain College Oral Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346065182
- **Authorized official:** REBECCA ACOSTA (CLINICAL & ADMINISTRATIVE COORDINAT)
- **Authorized official phone:** (970) 569-2950

## Contact information

- **Practice address:** 150 MILLER RANCH RD, EDWARDS, CO 81632-6420
- **Practice address phone:** (970) 569-2950
- **Mailing address:** 150 MILLER RANCH RD, EDWARDS, CO 81632-6420
- **Mailing address phone:** (970) 569-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 11/18/2024