Organization
NORTHWEST COLORADO DENTAL COALITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MISTY D SCHULZE BS (EXECUTIVE DIRECTOR)
(970) 824-1178
Entity
Organization
Contact information
Practice address
485 YAMPA AVENUE, CRAIG, CO 81625
(970) 824-1178
(970) 824-1179
Mailing address
485 YAMPA AVENUE, CRAIG, CO 81625
(970) 824-1178
(970) 824-1179
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92235743
—
CO
Enumeration date
10/18/2006
Last updated
08/22/2020
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