Organization
RIVERS END DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN LEE PATRICK DDS (OWNER/DENTIST)
(970) 639-1500
Entity
Organization
Contact information
Practice address
532 RAPTOR ROAD, UNIT B, FRUITA, CO 81521
(970) 639-1500
Mailing address
148 DRUMLIN CIR, FRUITA, CO 81521-2588
(970) 639-1500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN.00010764
CO
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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