Colorado Sleep Wellness LLC

NPI #1578160545 in Fruita, Colorado

Provider Information

NPI Number: 1578160545
Entity Type: Organization
Organization Name: Colorado Sleep Wellness LLC
Primary Specialty: Dentist
Enumeration Date: Oct 2, 2020
Last Updated: Oct 2, 2020

Practice Location

Address: 161 N PARK SQ
City: Fruita
State: Colorado
ZIP Code: 81521-2530
Phone: (970) 433-9700

Authorized Official

Name: DR. VICTORIA SHKLOVSKY, DDS
Title: MEMBER
Phone: (970) 433-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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