Eagleridge Dental

NPI #1487288106 in Walsenburg, Colorado

Provider Information

NPI Number: 1487288106
Entity Type: Organization
Organization Name: Eagleridge Dental
Primary Specialty: Dentist
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 104 E 6TH ST
City: Walsenburg
State: Colorado
ZIP Code: 81089-2020
Phone: (719) 738-2544

Authorized Official

Name: DR. CHARLES WOHLWEND, DDS
Title: DENTIST
Phone: (719) 542-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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DR. Nathan Heywood, DDS	Dentist	Walsenburg	AI Deep Dive
DR. Chad Michael Belongea, D.D.S.	Dentist	Littleton	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Charles Wohlwend Ddspc Part of Charles Wohlwend Ddspc	Dentist	Walsenburg	AI Deep Dive

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