Four Corners Oral and Maxilliofacial Surgery
Four Corners Oral and Maxilliofacial Surgery is a Dental Clinic/Center in Durango, Colorado. Licensed in Colorado. Registered with an NPI since 2012.
- Licensed in
- CO
- In the registry since
- 2012
Practice location Address checks out
72 Suttle St S# EDurango, CO 81303-6829
Phone: (970) 385-5432
Fax: (970) 385-5077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence C36335 (CO) |
|---|
Record details
| NPI number | 1104162452 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Johnson — President · (970) 385-5432 |
| NPI enumerated | December 13, 2012 |
| Last updated in NPPES | December 13, 2012 |
| Mailing address | 72 Suttle St, S# E, Durango, CO 81303-6829 |
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