San Juan Smiles Family Dentistry

NPI #1194135921 in Durango, Colorado

Provider Information

NPI Number: 1194135921
Entity Type: Organization
Organization Name: San Juan Smiles Family Dentistry
Primary Specialty: Dentist
Enumeration Date: May 1, 2014
Last Updated: May 1, 2014

Practice Location

Address: 2323 W 2ND AVE STE A
City: Durango
State: Colorado
ZIP Code: 81301-4646
Phone: (970) 375-7671

Authorized Official

Name: DR. WILLIAM LACEY, DMD
Title: OWNER
Phone: (970) 375-7671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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