Organization
DDS VANTAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN POOVEY DMD (DDS)
(970) 243-2026
Entity
Organization
Contact information
Practice address
2412 PATTERSON RD, GRAND JUNCTION, CO 81505-1243
(970) 243-2026
Mailing address
2412 PATTERSON RD, GRAND JUNCTION, CO 81505-1243
(970) 243-2026
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
292200000X
Dental Laboratory
—
—
Other
Enumeration date
09/03/2021
Last updated
09/09/2021
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