Avalon Dentistry P.c.

NPI #1104020395 in Alamosa, Colorado

Provider Information

NPI Number
1104020395
Entity Type
Organization
Organization Name
Avalon Dentistry P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
815 WEST AVE
ZIP Code
81101-3028
Phone
(719) 589-4771

Authorized Official

Name
DR. DENISE M VANDEWALLE, D.D.S
Title
OWNER
Phone
(719) 589-4771

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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