Individual provider · Type 1 NPI

Peter S. Domagala, DDS

Periodontics · Durango, CO

NPI number 1356415673 Active

Practice location

2323 W 2nd Ave Ste E
Durango, CO 81301-4646

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X021-001744 (IL)
Periodontics Primary 1223P0300XDEN.00203804 (CO)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1356415673

Peter S. Domagala, DDS's National Provider Identifier is 1356415673, issued on Nov 20, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Durango, CO. The record was last updated on Sep 18, 2022.