| NPI | 1346065182 |
|---|---|
| Doing Business As | COLORADO MOUNTAIN COLLEGE ORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA ACOSTA Clinical & Administrative Coordinat 970-569-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |