Organization
GRAND VALLEY DENTAL SLEEP ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL BELL LYBROOK DDS (OWNER/MEMBER MANAGER)
(970) 858-9511
Entity
Organization
Contact information
Practice address
551 KOKOPELLI BLVD UNIT A, FRUITA, CO 81521-6305
(970) 858-9511
(970) 858-8520
Mailing address
551 KOKOPELLI BLVD UNIT A, FRUITA, CO 81521-6305
(970) 858-9511
(970) 858-8520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7671
CO
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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