Brush Dental INC

NPI #1649628447 in Brush, Colorado

Provider Information

NPI Number: 1649628447
Entity Type: Organization
Organization Name: Brush Dental INC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 2, 2016
Last Updated: Feb 8, 2017

Practice Location

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

Authorized Official

Name: MRS. THERESE GONZALES, RDH
Title: OWNER
Phone: (970) 842-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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