Avalon Dentistry P.c. | |
815 West Ave Alamosa CO 81101-3028 | |
(719) 589-4771 | |
Not Available |
Full Name | Avalon Dentistry P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 815 West Ave, Alamosa, Colorado |
Authorized Official Name and Position | Denise M Vandewalle (OWNER) |
Authorized Official Contact | 7195894771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avalon Dentistry P.c. 815 West Ave Alamosa CO 81101-3028 Ph: (719) 589-4771 | Avalon Dentistry P.c. 815 West Ave Alamosa CO 81101-3028 Ph: (719) 589-4771 |
NPI Number | 1104020395 |
---|---|
Provider Enumeration Date | 06/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104020395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 10535 (Colorado) | Primary |
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