Organization
WOODMOOR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE HALL (BUSINESS MANAGER)
(623) 910-5569
Entity
Organization
Contact information
Practice address
1777 LAKE WOODMOOR DR, MONUMENT, CO 80132-9074
(719) 488-3014
Mailing address
1777 LAKE WOODMOOR DR, MONUMENT, CO 80132-9074
(719) 488-3014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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