Organization
MINERAL COUNTY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LAMB (COUNTY COMMISSIONER)
(719) 658-2331
Entity
Organization
Contact information
Practice address
802 RIO GRANDE AVE, CREEDE, CO 81130
(719) 658-0322
(719) 658-0322
Mailing address
P.O. BOX 57, 802 RIO GRANDE AVE, CREEDE, CO 81130
(719) 658-0322
(719) 658-0322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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