| Canon Kids Dental & Braces, Pc | |
|
1201 Royal Gorge Blvd Canon City CO 81212-3835 | |
| (719) 285-0994 | |
| (719) 285-0996 |
| Full Name | Canon Kids Dental & Braces, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1201 Royal Gorge Blvd, Canon City, Colorado |
| Authorized Official Name and Position | Enjoli Guillory (DIRECTOR OF RCM) |
| Authorized Official Contact | 7194640753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canon Kids Dental & Braces, Pc 2041 Pepper Ln Pueblo CO 81005-3276 Ph: (719) 285-0994 | Canon Kids Dental & Braces, Pc 1201 Royal Gorge Blvd Canon City CO 81212-3835 Ph: (719) 285-0994 |
| NPI Number | 1003776097 |
|---|---|
| Provider Enumeration Date | 11/13/2025 |
| Last Update Date | 11/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003776097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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