Organization
PAGOSA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FREDERICK THORNELL JR. DDS (DENTIST-OWNER)
(970) 731-6600
Entity
Organization
Contact information
Practice address
189 TALISMAN DR, SUITE E, PAGOSA SPRINGS, CO 81147-7916
(970) 731-6600
(970) 731-6604
Mailing address
189 TALISMAN DR, SUITE E, PAGOSA SPRINGS, CO 81147-7916
(970) 731-6600
(970) 731-6604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Enumeration date
09/07/2005
Last updated
07/21/2022
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