Organization
BILL BENDER D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL CHARLES BENDER D.D.S. P.C. (DENTIST)
(970) 284-7930
Entity
Organization
Contact information
Practice address
202 N 2ND ST, LA SALLE, CO 80645-3306
(970) 284-7930
(970) 284-6635
Mailing address
202 N 2ND ST, LA SALLE, CO 80645-3306
(970) 284-7930
(970) 284-6635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00773
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008587
—
CO
Enumeration date
05/29/2014
Last updated
05/29/2014
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