Organization
SALIDA FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M STRONG (OFFICE MGR)
(719) 539-2587
Entity
Organization
Contact information
Practice address
7600 W HWY 50, SALIDA, CO 81201
(719) 539-2587
(719) 539-4169
Mailing address
7600 W HWY 50, SALIDA, CO 81201
(719) 539-2587
(719) 539-4169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4375
CO
122300000X
Dentist
Primary
7810
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50855271
—
CO
Enumeration date
11/08/2006
Last updated
08/22/2020
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