Organization
CORTEZ DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD HASSEL PACK DMD (DENTIST)
(970) 565-9569
Entity
Organization
Contact information
Practice address
43 W MONTEZUMA AVE, CORTEZ, CO 81321-2743
(970) 565-9569
Mailing address
43 W MONTEZUMA AVE, CORTEZ, CO 81321-2743
(970) 565-9569
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
10266
CO
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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