| San Juan Dental Clinic Pc | |
|
115 N Beech St Cortez CO 81321-3207 | |
| (970) 565-4448 | |
| (970) 565-7211 |
| Full Name | San Juan Dental Clinic Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 N Beech St, Cortez, Colorado |
| Authorized Official Name and Position | Kenneth Carlson (OWNER) |
| Authorized Official Contact | 9705654448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Dental Clinic Pc 115 N Beech St Cortez CO 81321-3207 Ph: (970) 565-4448 | San Juan Dental Clinic Pc 115 N Beech St Cortez CO 81321-3207 Ph: (970) 565-4448 |
| NPI Number | 1487024865 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487024865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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