Organization
CORTEZ ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN B SCHAFER M.S.D., D.M.D. (ORTHODONTIST/ OWNER)
(970) 565-3531
Entity
Organization
Contact information
Practice address
101 S MAPLE ST, CORTEZ, CO 81321-3562
(970) 565-3531
Mailing address
101 S MAPLE ST, CORTEZ, CO 81321-3562
(970) 565-3531
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
COLO6144
CO
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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