| NPI | 1740791011 |
|---|---|
| Doing Business As | MONFORT CHILDREN'S DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CATHY WOLFF CFO 970-346-2546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2023-05-29 |