| Iconic Dental Inc | |
|
624 Main St Walsenburg CO 81089-2136 | |
| (719) 695-1004 | |
| (719) 695-1006 |
| Full Name | Iconic Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 624 Main St, Walsenburg, Colorado |
| Authorized Official Name and Position | Taci Cooper (OFFICE MANAGER) |
| Authorized Official Contact | 7192413140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iconic Dental Inc 624 Main St Walsenburg CO 81089-2136 Ph: (719) 695-1004 | Iconic Dental Inc 624 Main St Walsenburg CO 81089-2136 Ph: (719) 695-1004 |
| NPI Number | 1497103691 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 05/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497103691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Colorado) | 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 | |
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 | |
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 |