| Avalon Dentistry P.c. | |
|
815 West Ave Alamosa CO 81101-3028 | |
| (719) 589-4771 | |
| Not Available |
| Full Name | Avalon Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 815 West Ave, Alamosa, Colorado |
| Authorized Official Name and Position | Denise M Vandewalle (OWNER) |
| Authorized Official Contact | 7195894771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Dentistry P.c. 815 West Ave Alamosa CO 81101-3028 Ph: (719) 589-4771 | Avalon Dentistry P.c. 815 West Ave Alamosa CO 81101-3028 Ph: (719) 589-4771 |
| NPI Number | 1104020395 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104020395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10535 (Colorado) | Primary |
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