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Organization
SF LONGMONT PC
Active
Organization
SF LONGMONT PC
Active
Other names
Oral Surgery Durango, Durango OMS
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS REID DMD, MD (OWNER)
(412) 334-3473
Entity
Organization
Contact information
Practice address
575 RIVERGATE LN UNIT 98, DURANGO, CO 81301-7488
(970) 449-0824
(970) 568-5735
Mailing address
575 RIVERGATE LN UNIT 98, DURANGO, CO 81301-7488
(970) 449-0824
(970) 568-5735
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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