Individual
DR. PAMELA SUSANNE MILOS VALSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
519 MAIN STREET, WINDSOR, CO 80550
(970) 686-7121
(970) 686-1021
Mailing address
1350 BASSETERRE PLACE, FORT COLLINS, CO 80525
(970) 207-4024
(970) 207-4024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7737
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7737
DENTAL LICENSE NUMBER
CO
Enumeration date
08/02/2005
Last updated
07/08/2007
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