San Juan Dental Anesthesia Services, Professional Llc | |
835 E 2nd Ave Suite 270 Durango CO 81301-5475 | |
(970) 247-4848 | |
(877) 888-7642 |
Full Name | San Juan Dental Anesthesia Services, Professional Llc |
---|---|
Speciality | Dentist - Dentist Anesthesiologist |
Location | 835 E 2nd Ave, Durango, Colorado |
Authorized Official Name and Position | Taylor Clark (OWNER) |
Authorized Official Contact | 9702474848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
San Juan Dental Anesthesia Services, Professional Llc 835 E 2nd Ave Suite 270 Durango CO 81301-5475 Ph: (970) 247-4848 | San Juan Dental Anesthesia Services, Professional Llc 835 E 2nd Ave Suite 270 Durango CO 81301-5475 Ph: (970) 247-4848 |
NPI Number | 1609250810 |
---|---|
Provider Enumeration Date | 07/17/2015 |
Last Update Date | 07/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609250810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0004X | Dentist - Dentist Anesthesiologist | 201890 (Colorado) | Primary |
News Archive
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