| San Juan Dental Hygiene Llc | |
|
101 Pagosa Street Pagosa Springs CO 81147 | |
| (970) 264-9436 | |
| Not Available |
| Full Name | San Juan Dental Hygiene Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Pagosa Street, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Madeleine Beserra (RDH, MGR) |
| Authorized Official Contact | 9702649436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Dental Hygiene Llc Po Box 2336 Pagosa Springs CO 81147-2336 Ph: () - | San Juan Dental Hygiene Llc 101 Pagosa Street Pagosa Springs CO 81147 Ph: (970) 264-9436 |
| NPI Number | 1477717387 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477717387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 660 (Colorado) | Primary |
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