Modern Dental Associates

NPI #1194013342 in Edwards, Colorado

Provider Information

NPI Number
1194013342
Entity Type
Organization
Organization Name
Modern Dental Associates
Primary Specialty
Dentist
Enumeration Date
Jul 20, 2011
Last Updated
Jul 20, 2011

Practice Location

Address
27 MAIN ST
Address 2
SUITE 104E
ZIP Code
81632-8109
Phone
(970) 926-4321

Authorized Official

Name
PAULA S BARCLAY
Title
OWNER
Phone
(970) 926-4321

Specialties & Taxonomy Codes

Specialty
Dentist

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