Provider First Line Business Practice Location Address:
UTE MOUNTAIN UTE HEALTH CENTER DENTAL CLINIC
Provider Second Line Business Practice Location Address:
232 RUSTLING WILLOW STREET
Provider Business Practice Location Address City Name:
TOWAOC
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-565-4441
Provider Business Practice Location Address Fax Number:
970-565-4784
Provider Enumeration Date:
07/27/2006