PAONIA DENTAL PC

PAONIA, CO
NPI1790112605
Entity TypeOrganization
Authorized ContactFALON WAISATH
President
970-527-4853
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: CO  202094)
Enumeration Date2013-10-09
Last Update Date2013-10-09
Business Address
PAONIA DENTAL PC
402 2ND ST
PAONIA, CO 81428
Phone number: 970-527-4853
Mailing Address
PAONIA DENTAL PC
PO BOX 21
PAONIA, CO 81428-0021
Phone number: 970-527-4853
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