NPI 1154675098

Dental Associates of Woodland Park, LLC

Organisation Preferred Provider Organization Woodland Park, CO

Practice location

Address: 150 Morning Sun Dr 200 West, Woodland Park, CO 80863-9160
Phone: (719) 687-2000
Fax: (719) 687-9213

Authorised official

Name: Eric T Helland
Title: Manager
Phone: (719) 687-2000

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 3577 (CO)

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Registry record

NPI: 1154675098
Entity type: Organization
NPI issued: 30 Oct 2012
Record last updated: 30 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.