Organization
SUMMIT DENTAL SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY HORN RDH (OWNER, REGISTERED DENTAL HYGIENIST)
(970) 585-4424
Entity
Organization
Contact information
Practice address
190 TALISMAN DR UNIT D4, PAGOSA SPRINGS, CO 81147-9171
(970) 585-4424
Mailing address
190 TALISMAN DR UNIT D4, PAGOSA SPRINGS, CO 81147-9171
(970) 585-4424
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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