Organization
BE-CO-ME LLC
Active
Other names
Ault Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY WILLIAM ECKHARDT DDS (OWNER)
(970) 834-2058
Entity
Organization
Contact information
Practice address
120 NORTH 2ND AVENUE, AULT, CO 80610
(970) 834-2058
Mailing address
PO BOX 1038, AULT, CO 80610-1038
(970) 834-2058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN9157
CO
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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