| Canyon Crest Family Dental & Aesthetics | |
|
332 S Orchard Springs Dr Ste 110 Pueblo West CO 81007-6154 | |
| (719) 924-8858 | |
| Not Available |
| Full Name | Canyon Crest Family Dental & Aesthetics |
|---|---|
| Speciality | Dentist |
| Location | 332 S Orchard Springs Dr Ste 110, Pueblo West, Colorado |
| Authorized Official Name and Position | Travis Lyle Boyer (OWNER) |
| Authorized Official Contact | 7199248858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Crest Family Dental & Aesthetics 332 S Orchard Springs Dr Ste 110 Pueblo West CO 81007-6154 Ph: (719) 924-8858 | Canyon Crest Family Dental & Aesthetics 332 S Orchard Springs Dr Ste 110 Pueblo West CO 81007-6154 Ph: (719) 924-8858 |
| NPI Number | 1255835187 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 03/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255835187 | NPI | - | NPPES |
| 07178506 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00202790 (* (Not Available)) | Primary |
Pueblo West Neighborhood Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S Stardust Dr, Pueblo West, CO 81007 Phone: 719-547-4474 Fax: 719-547-4710 | |
Headwaters Dental Management Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S Stardust Dr, Pueblo West, CO 81007 Phone: 719-547-4474 Fax: 719-547-4710 | |
Rock Canyon Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007 Phone: 719-924-8858 | |
Jose M. Arango D.d.s., M.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 E. Spaulding Avenue, Pueblo West, CO 81007 Phone: 719-579-9773 | |
Dental Specialists Of Southern Colorado, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007 Phone: 719-569-5959 Fax: 719-300-5259 | |
Colorado Dental Professionals, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Hailey Ln Ste A, Pueblo West, CO 81007 Phone: 719-225-1009 Fax: 888-847-1729 |