Organization
LAKE CITY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE J BARTON (OFFICE MANAGER)
(970) 944-2331
Entity
Organization
Contact information
Practice address
700 NORTH HENSON ST, LAKE CITY, CO 81235-0999
(970) 944-2331
(970) 944-2320
Mailing address
700 NORTH HENSON ST, PO BOX 999, LAKE CITY, CO 81235-0999
(970) 944-2331
(970) 944-2320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
09/15/2011
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