| San Juan Dental Llc | |
|
308 Pagosa St Pagosa Springs CO 81147 | |
| (970) 264-9436 | |
| Not Available |
| Full Name | San Juan Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 308 Pagosa St, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Eric M Smith (OWNER) |
| Authorized Official Contact | 9702649436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Dental Llc Po Box 2336 Pagosa Springs CO 81147-2312 Ph: (970) 264-9436 | San Juan Dental Llc 308 Pagosa St Pagosa Springs CO 81147 Ph: (970) 264-9436 |
| NPI Number | 1538849955 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538849955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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