Organization
DARAIS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DARAIS (OWNER)
(801) 318-8615
Entity
Organization
Contact information
Practice address
2124 FREEDOM RD, TRINIDAD, CO 81082-1210
(801) 318-8615
Mailing address
2124 FREEDOM RD, TRINIDAD, CO 81082-1210
(801) 318-8615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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