| Nyu Lutheran | |
|
2333 N 6th St Grand Junction CO 81501-2001 | |
| (970) 255-1782 | |
| Not Available |
| Full Name | Nyu Lutheran |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2333 N 6th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Anna D'emilio (VICE PRESIDENT AEGD PROGRAM) |
| Authorized Official Contact | 7186307184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyu Lutheran 1030 Teller Ave Apt 56 Grand Junction CO 81501-3254 Ph: (304) 419-5231 | Nyu Lutheran 2333 N 6th St Grand Junction CO 81501-2001 Ph: (970) 255-1782 |
| NPI Number | 1053779454 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053779454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (ZZ) | Primary |
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