Organization
COSBY ENDODONTICS
Active
Other names
Grand Valley Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALLEE CLARK DDS (ENDODONTIST)
(901) 679-7697
Entity
Organization
Contact information
Practice address
2530 N 8TH ST STE 104, GRAND JUNCTION, CO 81501-8856
(970) 243-7392
Mailing address
2530 N 8TH ST STE 104, GRAND JUNCTION, CO 81501-8856
(970) 243-7392
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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