FOUR CORNERS SMILES 4 KIDS, INC.

DURANGO, CO
NPI1225364607
Entity TypeOrganization
Authorized ContactJ RYAN MICKELSON
Owner
970-247-0202
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  8630)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
FOUR CORNERS SMILES 4 KIDS, INC.
1135 S CAMINO DEL RIO STE. 210
DURANGO, CO 81303-6831
Phone number: 970-247-0202
Mailing Address
FOUR CORNERS SMILES 4 KIDS, INC.
1135 S CAMINO DEL RIO STE. 210
DURANGO, CO 81303-6831
Phone number: 970-247-0202
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