Organization
SAN JUAN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M SMITH DDS (OWNER)
(970) 264-9436
Entity
Organization
Contact information
Practice address
308 PAGOSA ST, PAGOSA SPRINGS, CO 81147
(970) 264-9436
Mailing address
PO BOX 2336, PAGOSA SPRINGS, CO 81147-2312
(970) 264-9436
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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