| Cheyenne Mountain Modern Dentistry And Orthodontics | |
|
4451 Venetucci Blvd Suite 160 Fountain CO 80906 | |
| (719) 800-0399 | |
| (719) 359-4158 |
| Full Name | Cheyenne Mountain Modern Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4451 Venetucci Blvd, Fountain, Colorado |
| Authorized Official Name and Position | Ryan M Pfeifer (OWNER) |
| Authorized Official Contact | 7198000399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne Mountain Modern Dentistry And Orthodontics 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Cheyenne Mountain Modern Dentistry And Orthodontics 4451 Venetucci Blvd Suite 160 Fountain CO 80906 Ph: (719) 800-0399 |
| NPI Number | 1336512540 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336512540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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