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Elite Dental Group Canon City Inc
Dental Clinic/Center in Canon City, Colorado
NPI 1518747765

Elite Dental Group Canon City Inc is a Dental Clinic/Center based in Canon City, CO and is specialized in Dental. Elite Dental Group Canon City Inc practices in Canon City, CO. The NPI Number for Elite Dental Group Canon City Inc is 1518747765 and holds a License No. (Colorado).

The current practice location address for Elite Dental Group Canon City Inc is 1215 N 15Th St, Canon City, CO and can be reached out via phone at 719-275-5933.

Location: 1215 N 15Th St, Canon City, CO, 81212-4620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518747765
Provider Name
Elite Dental Group Canon City Inc
Credential
Provider Entity Type
Organization
Address
1215 N 15Th St, Canon City, CO, 81212-4620
Phone Number
719-275-5933
Fax Number
Provider Enumeration Date
10/04/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396261251 05 CO
institution
Provider Business Practice Location Address Details
Address
1215 N 15Th St
City
Canon City
State
Colorado
Zip
81212-4620
Phone Number
719-275-5933
Fax Number
person
Provider Business Mailing Address Details
Address
1215 N 15Th St
City
Canon City
State
Colorado
Zip
81212-4620
Phone Number
719-275-5933
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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