| Tri Lakes Dental | |
|
1864 Woodmoor Dr Suite #101 Monument CO 80132-9095 | |
| (719) 488-5981 | |
| Not Available |
| Full Name | Tri Lakes Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1864 Woodmoor Dr, Monument, Colorado |
| Authorized Official Name and Position | Jarom Lamoreaux (OWNER/MANAGER) |
| Authorized Official Contact | 7194885981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri Lakes Dental 1864 Woodmoor Dr Suite #101 Monument CO 80132-9095 Ph: (719) 488-5981 | Tri Lakes Dental 1864 Woodmoor Dr Suite #101 Monument CO 80132-9095 Ph: (719) 488-5981 |
| NPI Number | 1598940785 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598940785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9335 (Colorado) | Primary |
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