Organization
MONTROSE DENTAL PLLC
Active
Other names
Hansen, Amundson and Horkan Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYN M HYATT (OFFICE MANAGER)
(970) 249-3330
Entity
Organization
Contact information
Practice address
629 E STAR CT, MONTROSE, CO 81401-6701
(970) 249-3330
(970) 249-4171
Mailing address
629 E STAR CT, MONTROSE, CO 81401-6701
(970) 249-3330
(970) 249-4171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
202414
CO
1223G0001X
General Practice Dentistry
6675
CO
1223G0001X
General Practice Dentistry
Primary
7485
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04430344
—
CO
Enumeration date
05/08/2017
Last updated
05/08/2017
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