Organization
WESTERNSLOPE DENTAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON S BERGUIN D.D.S. (PRESIDENT)
(970) 241-3483
Entity
Organization
Contact information
Practice address
514 28 RD, GRAND JUNCTION, CO 81501-6555
(970) 241-3483
(970) 241-8163
Mailing address
514 28 RD, GRAND JUNCTION, CO 81501-6555
(970) 241-3483
(970) 241-8163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CO105656
CO
1223G0001X
General Practice Dentistry
CO201868
CO
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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