Organization
PEDIATRIC DENTAL SPECIALISTS OF WESTERN CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY COX DMD (OWNER)
(970) 639-9551
Entity
Organization
Contact information
Practice address
2466 HWY 6 AND 50 STE 3, GRAND JUNCTION, CO 81505-5500
(970) 639-9551
Mailing address
2466 HWY 6 AND 50 STE 3, GRAND JUNCTION, CO 81505-5500
(970) 639-9551
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10694
CO
Other
Enumeration date
05/18/2012
Last updated
05/07/2021
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