| Mason O Miner Dds Llc | |
|
72 Suttle St Ste H Durango CO 81303 | |
| (970) 247-2677 | |
| (970) 382-9581 |
| Full Name | Mason O Miner Dds Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 72 Suttle St, Durango, Colorado |
| Authorized Official Name and Position | Mason Miner (DENTIST/OWNER) |
| Authorized Official Contact | 9702472677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mason O Miner Dds Llc 72 Suttle St Ste H Durango CO 81303 Ph: (970) 247-2677 | Mason O Miner Dds Llc 72 Suttle St Ste H Durango CO 81303 Ph: (970) 247-2677 |
| NPI Number | 1245212323 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 10/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245212323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8689 (Colorado) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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