Four Corners Family Dental-co, Llc

NPI 1003295478 - Dentist - 122300000X

NPI Details
NPI 1003295478
Enumeration Date 05/19/2015
Last Updated 05/19/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JENNIFER JENNIFER
Position OFFICE MANAGER
Phone (970) 507-1300
Fax
Practice Location
308 N PAGOSA ST
PAGOSA SPRINGS CO, 81147, US
Phone (970) 507-1300
Fax
Business Location
3501 N BUTLER AVE STE 104
FARMINGTON NM, 87401, US
Phone (505) 320-2942
Fax (505) 325-9707
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number DEN.0000111
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According to our database, Four Corners Family Dental-co, Llc NPI is 1003295478, taxonomy code is 122300000X and license number is DEN.0000111, license state is located at Colorado. Four Corners Family Dental-co, Llc physically located at 308 N Pagosa St, Pagosa Springs CO, 81147. NPI Number 1033115704 has the healthcare provider type.

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1003295478 NPI number is provided on an as is basis without warranty of any kind. 1003295478 is maintained by the National Plan & Provider Enumeration System. The contents of Four Corners Family Dental-co, Llc are for informational purposes only.