Organization
NYU LUTHERAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA D'EMILIO (VICE PRESIDENT AEGD PROGRAM)
(718) 630-7184
Entity
Organization
Contact information
Practice address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 255-1782
Mailing address
1030 TELLER AVE APT 56, GRAND JUNCTION, CO 81501-3254
(304) 419-5231
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
ZZ
Other
Enumeration date
02/01/2016
Last updated
09/07/2023
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