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18 E. Spaulding Avenue Pueblo West CO 81007 | |
| (719) 579-9773 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 18 E. Spaulding Avenue, Pueblo West, Colorado |
| Authorized Official Name and Position | Jose Miguel Arango (PRESIDENT) |
| Authorized Official Contact | 7192716701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4731 Opus Drive Colorado Springs CO 80906 Ph: (719) 271-6701 | 18 E. Spaulding Avenue Pueblo West CO 81007 Ph: (719) 579-9773 |
| NPI Number | 1396962064 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396962064 | NPI | - | NPPES |
| 47180056 | Medicaid | CO | |
| 971448 | Other | CO | UNITED CONCORDIA ID P |
| 832847745 | Medicaid | CO | |
| 707114 | Other | CO | UNITED CONCORDIA ID CS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 7905 (Colorado) | Primary |
Canyon Crest Family Dental & Aesthetics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007 Phone: 719-924-8858 | |
Rock Canyon Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007 Phone: 719-924-8858 | |
Dental Specialists Of Southern Colorado, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007 Phone: 719-569-5959 Fax: 719-300-5259 | |