Organization
BROCK WESTOVER DDS, M.ED.P.C.
Active
Other names
Elk Avenue Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK B. WESTOVER D.D.S. (PRESIDENT)
(601) 214-6282
Entity
Organization
Contact information
Practice address
412 ELK AVE., CRESTED BUTTE, CO 81224-1228
(970) 349-5880
(970) 349-5880
Mailing address
PO BOX 1228, CRESTED BUTTE, CO 81224-1228
(970) 349-5880
(970) 349-9485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8571
CO
Other
Enumeration date
05/17/2007
Last updated
06/18/2008
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