Individual
CALLEE COSBY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2530 N 8TH ST, SUITE 106, GRAND JUNCTION, CO 81501-8857
(970) 243-7392
(970) 243-8086
Mailing address
2530 N 8TH ST, SUITE 106, GRAND JUNCTION, CO 81501-8857
(970) 243-7392
(970) 243-8086
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3621-11
MS
1223E0200X
Endodontics
DEN.00202198
CO
Other
Enumeration date
07/20/2009
Last updated
06/27/2014
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