Organization
PAGOSA SPRINGS FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN J NYLUND DDS (OWNER)
(970) 528-3384
Entity
Organization
Contact information
Practice address
2363 EAGLE DR UNIT A, PAGOSA SPRINGS, CO 81147-9058
(970) 528-3384
Mailing address
245 PINES CLUB PL, PAGOSA SPRINGS, CO 81147-9304
(970) 528-3384
(970) 507-9898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
12/30/2025
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