| Sf Longmont Pc | |
|
575 Rivergate Ln Unit 98 Durango CO 81301-7488 | |
| (970) 449-0824 | |
| (970) 568-5735 |
| Full Name | Sf Longmont Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 575 Rivergate Ln Unit 98, Durango, Colorado |
| Authorized Official Name and Position | Douglas Reid (OWNER) |
| Authorized Official Contact | 4123343473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sf Longmont Pc 575 Rivergate Ln Unit 98 Durango CO 81301-7488 Ph: (970) 449-0824 | Sf Longmont Pc 575 Rivergate Ln Unit 98 Durango CO 81301-7488 Ph: (970) 449-0824 |
| NPI Number | 1962241471 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962241471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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