Woodmoor Dental

NPI #1194299941 in Monument, Colorado

Provider Information

NPI Number: 1194299941
Entity Type: Organization
Organization Name: Woodmoor Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 15, 2019
Last Updated: Jan 15, 2019

Practice Location

Address: 1777 LAKE WOODMOOR DR
City: Monument
State: Colorado
ZIP Code: 80132-9074
Phone: (719) 488-3014

Authorized Official

Name: VALERIE HALL
Title: BUSINESS MANAGER
Phone: (623) 910-5569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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