| Dds Catalyst Pagosa, Llc | |
|
308 N. Pagosa Street Pagosa Springs CO 81147 | |
| (970) 507-1300 | |
| Not Available |
| Full Name | Dds Catalyst Pagosa, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 308 N. Pagosa Street, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Andrew Ashby (OWNER) |
| Authorized Official Contact | 3038102890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dds Catalyst Pagosa, Llc 3501 N Butler Ave Ste 104 Farmington NM 87401-6430 Ph: (505) 564-4470 | Dds Catalyst Pagosa, Llc 308 N. Pagosa Street Pagosa Springs CO 81147 Ph: (970) 507-1300 |
| NPI Number | 1659880169 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 09/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659880169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN.00009933 (Colorado) | Primary |
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