| Neon Kids Dental Of Cortez | |
|
101 S Maple St Ste 1 Cortez CO 81321-3563 | |
| (505) 592-0482 | |
| Not Available |
| Full Name | Neon Kids Dental Of Cortez |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 101 S Maple St Ste 1, Cortez, Colorado |
| Authorized Official Name and Position | Amanda Salazar (BILLING) |
| Authorized Official Contact | 5055920482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neon Kids Dental Of Cortez 4760 N Butler Ave Ste B Farmington NM 87401-0816 Ph: (505) 592-0482 | Neon Kids Dental Of Cortez 101 S Maple St Ste 1 Cortez CO 81321-3563 Ph: (505) 592-0482 |
| NPI Number | 1265177679 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265177679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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