Summit Family Dental of Cortez, Pllc

NPI #1417366808 in Cortez, Colorado

Provider Information

NPI Number: 1417366808
Entity Type: Organization
Organization Name: Summit Family Dental of Cortez, Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 11, 2014
Last Updated: Oct 15, 2020

Practice Location

Address: 111 S SLIGO
Address 2: BUILDING A
City: Cortez
State: Colorado
ZIP Code: 81321
Phone: (505) 326-6800

Authorized Official

Name: LISA HODGES
Title: OPERATIONS DIRECTOR
Phone: (505) 787-2965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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