San Juan Dental Hygiene LLC
NPI #1477717387 in Pagosa Springs, Colorado
Provider Information
- NPI Number
- 1477717387
- Entity Type
- Organization
- Organization Name
- San Juan Dental Hygiene LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 10, 2008
- Last Updated
- Jul 10, 2008
Practice Location
- Address
- 101 PAGOSA STREET
- City
- Pagosa Springs
- State
- Colorado
- ZIP Code
- 81147
- Phone
- (970) 264-9436
Authorized Official
- Name
- MADELEINE BESERRA
- Title
- RDH, MGR
- Phone
- (970) 264-9436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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