Orchard Springs Dental

NPI #1194942573 in Canon City, Colorado

Provider Information

NPI Number: 1194942573
Entity Type: Organization
Organization Name: Orchard Springs Dental
Primary Specialty: Dentist
Enumeration Date: Apr 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 410 MACON AVE
City: Canon City
State: Colorado
ZIP Code: 81212-3225
Phone: (719) 276-0117

Authorized Official

Name: CAROL RIEG
Title: MANAGER
Phone: (719) 276-0117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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