| NPI | 1568937639 |
|---|---|
| Doing Business As | CORTEZ COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINCOLN J PEHRSON Executive Director 970-677-3628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |