Fruita Canyon Dental

NPI #1972954949 in Fruita, Colorado

Provider Information

NPI Number: 1972954949
Entity Type: Organization
Organization Name: Fruita Canyon Dental
Primary Specialty: Dentist
Enumeration Date: Jun 30, 2016
Last Updated: Jun 30, 2016

Practice Location

Address: 288 W PABOR AVE
City: Fruita
State: Colorado
ZIP Code: 81521-2153
Phone: (970) 858-8484

Authorized Official

Name: KREHL WILLIAM STEGELMEIER, D.D.S.
Title: DENTIST
Phone: (970) 858-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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DR. Scott Douglas Lybrook, D.M.D.	Dentist	Fruita	AI Deep Dive
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