| Rabbit Ears Dental Office | |
|
440 S Lincoln Ave Sutie B10 Steamboat Springs CO 80487-8916 | |
| (970) 879-5630 | |
| (970) 879-0703 |
| Full Name | Rabbit Ears Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 440 S Lincoln Ave, Steamboat Springs, Colorado |
| Authorized Official Name and Position | Neil Ira Ganz (PRESIDENT) |
| Authorized Official Contact | 9708795630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rabbit Ears Dental Office 440 S Lincoln Ave Suite B10 Steamboat Springs CO 80487-8916 Ph: (970) 879-5630 | Rabbit Ears Dental Office 440 S Lincoln Ave Sutie B10 Steamboat Springs CO 80487-8916 Ph: (970) 879-5630 |
| NPI Number | 1447276282 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447276282 | NPI | - | NPPES |
| 19277202 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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