Organization
SUMMIT FAMILY DENTAL OF CORTEZ, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HODGES (OPERATIONS DIRECTOR)
(505) 787-2965
Entity
Organization
Contact information
Practice address
111 S SLIGO, BUILDING A, CORTEZ, CO 81321
(505) 326-6800
(505) 326-6820
Mailing address
111 S SLIGO, BUILDING A, CORTEZ, CO 81321
(505) 326-6800
(505) 326-6820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NM
Other
Enumeration date
08/11/2014
Last updated
10/15/2020
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