Individual
DR. PETER S DOMAGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2323 W 2ND AVE STE E, DURANGO, CO 81301-4646
(970) 403-3299
Mailing address
2323 W 2ND AVE STE E, DURANGO, CO 81301-4646
(970) 403-3299
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
021-001744
IL
1223P0300X
Periodontics
Primary
DEN.00203804
CO
Other
Enumeration date
11/20/2006
Last updated
09/18/2022
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