San Juan Dental Clinic PC
NPI #1487024865 in Cortez, Colorado
Provider Information
- NPI Number
- 1487024865
- Entity Type
- Organization
- Organization Name
- San Juan Dental Clinic PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 29, 2015
- Last Updated
- Sep 29, 2015
Practice Location
Authorized Official
- Name
- KENNETH CARLSON, DDS
- Title
- OWNER
- Phone
- (970) 565-4448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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