Organization
SCOTT N. VANDUSEN, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTTY NEIL VANDUSEN D.D.S. (PROPRIETOR)
(970) 255-7070
Entity
Organization
Contact information
Practice address
1301 N 7TH ST, SUITE B, GRAND JUNCTION, CO 81501-3065
(970) 255-7070
(970) 255-8070
Mailing address
1301 N 7TH ST, SUITE B, GRAND JUNCTION, CO 81501-3065
(970) 255-7070
(970) 255-8070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100986
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43604561
—
CO
Enumeration date
11/18/2008
Last updated
11/18/2008
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