| David N Fishman DDS PC | |
|
23264 Two Rivers Rd Basalt CO 81621 | |
| (970) 927-3776 | |
| (970) 927-9015 |
| Full Name | David N Fishman DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 23264 Two Rivers Rd, Basalt, Colorado |
| Authorized Official Name and Position | David N Fishman (PRESIDENT) |
| Authorized Official Contact | 9709273776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David N Fishman DDS PC Po Box 1597 Basalt CO 81621 Ph: (970) 927-3776 | David N Fishman DDS PC 23264 Two Rivers Rd Basalt CO 81621 Ph: (970) 927-3776 |
| NPI Number | 1164436580 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164436580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7080 (Colorado) | Primary |
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