Pagosa Kids Familydental | |
46 Eaton Dr Ste 1 Pagosa Springs CO 81147-8228 | |
(970) 264-0554 | |
Not Available |
Full Name | Pagosa Kids Familydental |
---|---|
Speciality | Dentist - General Practice |
Location | 46 Eaton Dr Ste 1, Pagosa Springs, Colorado |
Authorized Official Name and Position | Tyler Anthony Mann (DENTIST) |
Authorized Official Contact | 9702640554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pagosa Kids Familydental 46 Eaton Dr Ste 1 Pagosa Springs CO 81147-8228 Ph: (970) 264-0554 | Pagosa Kids Familydental 46 Eaton Dr Ste 1 Pagosa Springs CO 81147-8228 Ph: (970) 264-0554 |
NPI Number | 1689997462 |
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Provider Enumeration Date | 03/08/2010 |
Last Update Date | 03/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689997462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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