Search › Colorado › 1223G0001X
Garry Vangenderen, DDS
NPI 1871982140 · on the registry since 2015
Practice
- Address
- 17 W 4th St
La Junta, CO 81050 - Phone
- (719) 383-2083
- Organisation at this address
- Down To Earth Dentistry, Llc.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 962 Sepulveda Blvd, Harbor City, CA
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- CO, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado