Organization
WRAY FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RESA ESPINOZA DDS (MEMBER)
(719) 588-3036
Entity
Organization
Contact information
Practice address
416 MAIN ST, WRAY, CO 80758-1725
(719) 588-3036
Mailing address
416 MAIN ST, WRAY, CO 80758-1725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202209
CO
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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