Organization
DOWN TO EARTH DENTISTRY, LLC.
Active
Parent organization
DOWN TO EARTH DENTISTRY LLC
Other names
Dental Depot
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOWN TO EARTH DENTISTRY LLC
Authorized official
BRADY SEFCIK DDS (DDS/OWNER)
(801) 400-4560
Entity
Organization
Contact information
Practice address
17 W. 4TH ST., LA JUNTA, CO 81050
(719) 383-2083
(719) 383-2047
Mailing address
17 W. 4TH ST, LA JUNTA, CO 81050
(719) 383-2083
(719) 383-2047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00201897
CO
1223G0001X
General Practice Dentistry
Primary
00202298
CO
Other
Enumeration date
03/26/2014
Last updated
02/29/2016
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