Dolores County Health Association

NPI #1568937639 in Cortez, Colorado

Provider Information

NPI Number: 1568937639
Entity Type: Organization
Organization Name: Dolores County Health Association
Subpart: Yes (part of a larger organization)
Parent Organization: DOLORES COUNTY HEALTH ASSOCIATION
Primary Specialty: Dentist
Enumeration Date: Oct 4, 2018
Last Updated: Oct 4, 2018

Practice Location

Address: 101 S MAPLE ST
City: Cortez
State: Colorado
ZIP Code: 81321-3562
Phone: (970) 565-1800

Authorized Official

Name: MR. LINCOLN J PEHRSON
Title: EXECUTIVE DIRECTOR
Phone: (970) 677-3628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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