Individual
DANIEL T CLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
601 S 3RD ST, MONTROSE, CO 81401-4207
(970) 249-6955
(970) 249-7309
Mailing address
601 S 3RD ST, MONTROSE, CO 81401-4207
(970) 249-6955
(970) 249-7309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105387
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11636319
—
CO
Enumeration date
08/29/2006
Last updated
07/08/2007
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