Organization
BRUSH FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON WAYNE BIRCH DDS (PRESIDENT)
(970) 842-2858
Entity
Organization
Contact information
Practice address
302 CAMERON ST, BRUSH, CO 80723-2017
(970) 842-2858
Mailing address
302 CAMERON ST, BRUSH, CO 80723-2017
(970) 842-2858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10464
CO
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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