| Pagosa Dental Care Pc | |
|
189 Talisman Dr Ste E Pagosa Spgs CO 81147-7916 | |
| (970) 731-6600 | |
| Not Available |
| Full Name | Pagosa Dental Care Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 189 Talisman Dr, Pagosa Spgs, Colorado |
| Authorized Official Name and Position | William Thornell (OWNER) |
| Authorized Official Contact | 9707316600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pagosa Dental Care Pc 189 Talisman Dr Ste E Pagosa Spgs CO 81147-7916 Ph: () - | Pagosa Dental Care Pc 189 Talisman Dr Ste E Pagosa Spgs CO 81147-7916 Ph: (970) 731-6600 |
| NPI Number | 1770018830 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770018830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DEN00008224 (Colorado) | Primary |