Organization · Type 2 NPI
Northeast Family Dental Clinic
Dental Clinic/Center · Hastun, CO
NPI number
1154486272
Active
Practice location
115 South Colorado Ave
Hastun, CO 80731
Fax (970) 774-7997
Mailing address
PO Box 248
Haxtun, CO 80731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | CO8895 (CO) |
Dental Clinic/Center: Definition to come...
About NPI 1154486272
Northeast Family Dental Clinic's National Provider Identifier is 1154486272, issued on Dec 27, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hastun, CO. The record was last updated on Aug 22, 2020.