Black Canyon Dental, P.c.

NPI #1306576749 in Montrose, Colorado

Provider Information

NPI Number: 1306576749
Entity Type: Organization
Organization Name: Black Canyon Dental, P.c.
Primary Specialty: Dentist
Enumeration Date: Jun 16, 2022
Last Updated: Jun 16, 2022

Practice Location

Address: 1544 OXBOW DR STE 230
City: Montrose
State: Colorado
ZIP Code: 81401-5189
Phone: (801) 471-3690

Authorized Official

Name: ANDRE CARDOSO, DMD
Title: CEO
Phone: (801) 471-3690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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