Individual
EDWARD DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
377 SYLVAN LAKE RD, SUITE 210, EAGLE, CO 81631
(970) 328-1650
(970) 328-1651
Mailing address
PO BOX 688, EAGLE, CO 81631-0688
(970) 328-1650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36310
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01363100
—
CO
Enumeration date
08/11/2005
Last updated
12/12/2011
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