Organization
YUMA FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK J JOHNSON DDS (OWNER/DENTIST)
(970) 848-5777
Entity
Organization
Contact information
Practice address
900 S ASH ST, YUMA, CO 80759
(970) 848-5777
(970) 848-2382
Mailing address
PO BOX 402, YUMA, CO 80759-0402
(970) 848-5777
(970) 848-2382
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CO
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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