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1194358762
RATON FAMILY DENTAL LLC
RATON, NM
NPI
1194358762
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Entity Type
Organization
Authorized Contact
STEPHEN PAUL DIXON
Owner
801-717-8637
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-02-21
Last Update Date
2020-02-21
Business Address
RATON FAMILY DENTAL LLC
1100 S 2ND ST STE C
RATON, NM 87740-2326
Phone number: 801-717-8637
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Mailing Address
RATON FAMILY DENTAL LLC
132 N COMMERCIAL ST UNIT 2
TRINIDAD, CO 81082-2655
Phone number: 801-717-8637
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