San Juan Smiles Family Dentistry | |
2323 W 2nd Ave Ste A Durango CO 81301-4646 | |
(970) 375-7671 | |
(970) 375-1239 |
Full Name | San Juan Smiles Family Dentistry |
---|---|
Speciality | Dentist |
Location | 2323 W 2nd Ave Ste A, Durango, Colorado |
Authorized Official Name and Position | William Lacey (OWNER) |
Authorized Official Contact | 9703757671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
San Juan Smiles Family Dentistry 2323 W 2nd Ave Ste A Durango CO 81301-4646 Ph: (970) 375-7671 | San Juan Smiles Family Dentistry 2323 W 2nd Ave Ste A Durango CO 81301-4646 Ph: (970) 375-7671 |
NPI Number | 1194135921 |
---|---|
Provider Enumeration Date | 05/01/2014 |
Last Update Date | 05/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194135921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8056 (Colorado) | Primary |
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