Organization
OPEN AND AFFORDABLE DENTAL AT LA SALLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R STOTT DDS (OWNER)
(970) 284-7930
Entity
Organization
Contact information
Practice address
202 N 2ND ST, LA SALLE, CO 80645-3306
(970) 284-7930
Mailing address
202 N 2ND ST, LA SALLE, CO 80645-3306
(970) 284-7930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202024
CO
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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