| San Juan Smiles Family Dentistry | |
|
2323 W 2nd Ave Ste A Durango CO 81301-4646 | |
| (970) 375-7671 | |
| (970) 375-1239 |
| Full Name | San Juan Smiles Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2323 W 2nd Ave Ste A, Durango, Colorado |
| Authorized Official Name and Position | William Lacey (OWNER) |
| Authorized Official Contact | 9703757671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Smiles Family Dentistry 2323 W 2nd Ave Ste A Durango CO 81301-4646 Ph: (970) 375-7671 | San Juan Smiles Family Dentistry 2323 W 2nd Ave Ste A Durango CO 81301-4646 Ph: (970) 375-7671 |
| NPI Number | 1194135921 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 05/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194135921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8056 (Colorado) | Primary |
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