Paonia Dental PC

NPI #1790112605 in Paonia, Colorado

Provider Information

NPI Number
1790112605
Entity Type
Organization
Organization Name
Paonia Dental PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 9, 2013
Last Updated
Oct 9, 2013

Practice Location

Address
402 2ND ST
City
Paonia
ZIP Code
81428
Phone
(970) 527-4853

Authorized Official

Name
FALON WAISATH, DMD
Title
PRESIDENT
Phone
(970) 527-4853

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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