| Eagleridge Dental | |
|
104 E 6th St Walsenburg CO 81089-2020 | |
| (719) 738-2544 | |
| (719) 738-3747 |
| Full Name | Eagleridge Dental |
|---|---|
| Speciality | Dentist |
| Location | 104 E 6th St, Walsenburg, Colorado |
| Authorized Official Name and Position | Charles Wohlwend (DENTIST) |
| Authorized Official Contact | 7195421212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagleridge Dental 1044 Eagleridge Blvd Pueblo CO 81008-2130 Ph: (719) 542-1212 | Eagleridge Dental 104 E 6th St Walsenburg CO 81089-2020 Ph: (719) 738-2544 |
| NPI Number | 1487288106 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487288106 | NPI | - | NPPES |
| 10 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Phil Warlick, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 S Albert Ave, Walsenburg, CO 81089 Phone: 719-738-6446 Fax: 719-738-3773 | |
Iconic Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Main St, Walsenburg, CO 81089 Phone: 719-695-1004 Fax: 719-695-1006 | |
Eagleridge Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E 6th St, Walsenburg, CO 81089 Phone: 719-738-2544 Fax: 719-738-3747 | |
Shoff Smiles, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Main St, Walsenburg, CO 81089 Phone: 719-695-1004 Fax: 719-695-1006 |