Pagosa Peak Family Dentistry, Pllc
NPI #1184377392 in Pagosa Springs, Colorado
Provider Information
- NPI Number
- 1184377392
- Entity Type
- Organization
- Organization Name
- Pagosa Peak Family Dentistry, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 28, 2022
- Last Updated
- Jan 28, 2022
Practice Location
- Address
- 228 VILLAGE DR
- City
- Pagosa Springs
- State
- Colorado
- ZIP Code
- 81147-8308
- Phone
- (216) 374-5693
Authorized Official
- Name
- DR. PETER ROUKEMA, DMD
- Title
- PRESIDENT
- Phone
- (216) 374-5693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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