Organization
RIVERWALK PERIODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E BEARD DMD, MS (MEMBER)
(773) 383-3878
Entity
Organization
Contact information
Practice address
280 MAIN ST, QUARTZ C-106, EDWARDS, CO 81632-8501
(970) 766-6000
Mailing address
280 MAIN ST, QUARTZ C-106, EDWARDS, CO 81632-8501
(970) 766-6000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN.00202129
CO
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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