| Rock Canyon Family Dental | |
|
332 S Orchard Springs Dr Ste 110 Pueblo West CO 81007-6154 | |
| (719) 924-8858 | |
| Not Available |
| Full Name | Rock Canyon Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 332 S Orchard Springs Dr Ste 110, Pueblo West, Colorado |
| Authorized Official Name and Position | Valerie Hall (BUSINESS MANAGER) |
| Authorized Official Contact | 6239105569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Canyon Family Dental 4542 Valleybrook Dr Highlands Ranch CO 80130-6965 Ph: () - | Rock Canyon Family Dental 332 S Orchard Springs Dr Ste 110 Pueblo West CO 81007-6154 Ph: (719) 924-8858 |
| NPI Number | 1376056192 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 11/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376056192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 202339 (Colorado) | Primary |
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