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1194135921
SAN JUAN SMILES FAMILY DENTISTRY
DURANGO, CO
NPI
1194135921
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Entity Type
Organization
Authorized Contact
WILLIAM LACEY
Owner
970-375-7671
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 8056)
Enumeration Date
2014-05-01
Last Update Date
2014-05-01
Business Address
SAN JUAN SMILES FAMILY DENTISTRY
2323 W 2ND AVE STE A
DURANGO, CO 81301-4646
Phone number: 970-375-7671
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Mailing Address
SAN JUAN SMILES FAMILY DENTISTRY
2323 W 2ND AVE STE A
DURANGO, CO 81301-4646
Phone number: 970-375-7671
Copy
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