# SAN JUAN BASIN HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAN JUAN BASIN HEALTH DEPARTMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730101726
- **Legal business name:** SAN JUAN BASIN HEALTH DEPARTMENT
- **Authorized official:** MS. LIANE JOLLON RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (970) 247-5702

## Contact information

- **Practice address:** 701 CAMINO DEL RIO, SOUTHWEST SMILE MAKERS, DURANGO, CO 81301
- **Practice address phone:** (970) 385-4480
- **Practice address fax:** (970) 247-7882
- **Mailing address:** 281 SAWYER DR., DURANGO, CO 81303-3409
- **Mailing address phone:** (970) 247-5702
- **Mailing address fax:** (970) 247-9126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 09/22/2014