Fishers Peak Dentistry Pllc

NPI #1790427748 in Trinidad, Colorado

Provider Information

NPI Number: 1790427748
Entity Type: Organization
Organization Name: Fishers Peak Dentistry Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 11, 2022
Last Updated: Apr 11, 2022

Practice Location

Address: 1723 E MAIN ST
City: Trinidad
State: Colorado
ZIP Code: 81082-2017
Phone: (719) 846-4028

Authorized Official

Name: DR. GAVIN WILSON, DDS
Title: OWNER
Phone: (719) 846-4028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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