Rock Canyon Family Dental
NPI #1376056192 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1376056192
- Entity Type
- Organization
- Organization Name
- Rock Canyon Family Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 15, 2017
- Last Updated
- Nov 15, 2017
Practice Location
- Address
- 332 S ORCHARD SPRINGS DR STE 110
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007-6154
- Phone
- (719) 924-8858
Authorized Official
- Name
- VALERIE HALL
- Title
- BUSINESS MANAGER
- Phone
- (623) 910-5569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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