Organization
4 CORNERS DENTAL SLEEP SOLUTIONS LLC
Active
Parent organization
4 CORNERS DENTAL SLEEP SOLUTIONS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
4 CORNERS DENTAL SLEEP SOLUTIONS LLC
Authorized official
DR. JOHN A VESTAL DDS (OWNER)
(970) 565-3612
Entity
Organization
Contact information
Practice address
302 W MONTEZUMA AVE, CORTEZ, CO 81321-2750
(970) 565-3612
Mailing address
302 W MONTEZUMA AVE, CORTEZ, CO 81321-2750
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
06/10/2019
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