Condar,inc

NPI #1013105436 in Brush, Colorado

Provider Information

NPI Number: 1013105436
Entity Type: Organization
Organization Name: Condar,inc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 10, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 412 EDISON ST
City: Brush
State: Colorado
ZIP Code: 80723-2130
Phone: (970) 842-0220

Authorized Official

Name: THOMAS JORGENSEN, DDS
Title: DENTIST
Phone: (303) 489-1831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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