# DOLORES TIONGCO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528099280
- **Authorized official:** DR. DOLORES TIONGCO MD (OWNER)
- **Authorized official phone:** (970) 256-0066

## Contact information

- **Practice address:** 2345 N 7TH ST, GRAND JUNCTION, CO 81501-8117
- **Practice address phone:** (970) 256-0066
- **Practice address fax:** (970) 256-7723
- **Mailing address:** 2345 N 7TH ST, GRAND JUNCTION, CO 81501-8117
- **Mailing address phone:** (970) 256-0066
- **Mailing address fax:** (970) 256-7723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 38987 | CO | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 12/02/2007