# RIVERS END DENTAL

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

## Provider details

- **NPI number:** 1851883284
- **Authorized official:** DR. DUSTIN LEE PATRICK DDS (OWNER/DENTIST)
- **Authorized official phone:** (970) 639-1500

## Contact information

- **Practice address:** 532 RAPTOR ROAD, UNIT B, FRUITA, CO 81521
- **Practice address phone:** (970) 639-1500
- **Mailing address:** 148 DRUMLIN CIR, FRUITA, CO 81521-2588
- **Mailing address phone:** (970) 639-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DEN.00010764 | CO | Yes |

## Other

- **Enumeration date:** 06/01/2018
- **Last updated:** 06/01/2018