Individual
SUMMER DAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 VILLAGE DR, PAGOSA SPRINGS, CO 81147-8368
(970) 264-2104
(970) 335-2438
Mailing address
150 MERCURY VILLAGE DR, DURANGO, CO 81301-8955
(970) 335-2348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00204054
CO
1223G0001X
General Practice Dentistry
Primary
00204054
CO
Other
Enumeration date
07/22/2019
Last updated
02/08/2026
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