Organization
ALAN M WIXOM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN M WIXOM D.D.S. (PRESIDENT)
(970) 242-9202
Entity
Organization
Contact information
Practice address
2490 PATTERSON RD., UNIT 2, GRAND JUNCTION, CO 81505
(970) 242-9202
Mailing address
2490 PATTERSON RD., UNIT 2, GRAND JUNCTION, CO 81505
(970) 242-9202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6381
CO
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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