Organization
RATON FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PAUL DIXON DMD (OWNER)
(801) 717-8637
Entity
Organization
Contact information
Practice address
1100 S 2ND ST STE C, RATON, NM 87740-2326
(801) 717-8637
Mailing address
132 N COMMERCIAL ST UNIT 2, TRINIDAD, CO 81082-2655
(801) 717-8637
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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