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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOUR CORNERS ORAL AND MAXILLIOFACIAL SURGERY

Active Organization

Dental Clinic · DURANGO, CO

Registration Details

NPI Number
1104162452
Provider Type
Organization
NPI Issued
Dec 13, 2012 (13.373301647244 yrs)
Last Updated
Dec 13, 2012
License
C36335 (CO)

Practice Information

Address
72 SUTTLE ST
S# E
DURANGO, CO, 813036829
Browse CO providers · Browse ZIP 81303
Phone
9703855432
Fax
9703855077
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.