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Ryan T Anderson Ddc Pc
Dental Clinic/Center in La Junta, Colorado
NPI 1952774465

Ryan T Anderson Ddc Pc is a Dental Clinic/Center based in La Junta, CO and is specialized in Dental. Ryan T Anderson Ddc Pc practices in La Junta, CO. The NPI Number for Ryan T Anderson Ddc Pc is 1952774465 and holds a License No. 00202659 (Colorado).

The current practice location address for Ryan T Anderson Ddc Pc is 13 E 4Th St., La Junta, CO and can be reached out via phone at 719-384-9442.

Location: 13 E 4Th St., La Junta, CO, 81050-3601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952774465
Provider Name
Ryan T Anderson Ddc Pc
Credential
Provider Entity Type
Organization
Address
13 E 4Th St., La Junta, CO, 81050-3601
Phone Number
719-384-9442
Fax Number
Provider Enumeration Date
11/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02061620 05 CO
institution
Provider Business Practice Location Address Details
Address
13 E 4Th St.
City
La Junta
State
Colorado
Zip
81050
Phone Number
719-384-9442
Fax Number
person
Provider Business Mailing Address Details
Address
13 E 4Th St.
City
La Junta
State
Colorado
Zip
81050
Phone Number
719-384-9442
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
00202659 (Colorado)
Definition
Definition to come...
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